| NPI | 1477562833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES PRICE Administrator 814-255-6781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2009-01-14 |