NPI | 1417924598 |
---|---|
Entity Type | Organization |
Authorized Contact | CORTLAND DERIC BARD Owner 301-516-9600 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MD 10636048) |
Enumeration Date | 2006-03-07 |
Last Update Date | 2020-08-22 |