| NPI | 1518346048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS DANIEL BICKEL COO 314-575-3394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |