| NPI | 1457523854 |
|---|---|
| Doing Business As | DIABETIC SHOES AND SUPPLIES |
| Entity Type | Organization |
| Authorized Contact | STEVE BRADY Owner 256-650-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AL 332BC3200X) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |