NPI | 1437488137 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER JAMES DOLL Dm./Owner 270-827-2548 |
Organization Subpart ? | Yes |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2009-12-09 |
Last Update Date | 2009-12-09 |