| NPI | 1467642884 |
|---|---|
| Other Name | LANDER MEDICAL CLINIC DMEPOS |
| Entity Type | Organization |
| Authorized Contact | BROC CODI WHITE President 307-332-2941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2024-09-16 |