| NPI | 1528223708 |
|---|---|
| Other Name | DOC'S SHOES |
| Entity Type | Organization |
| Authorized Contact | ROBERT L LAREAUX President 808-263-6012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-07-27 |
| Last Update Date | 2008-07-27 |