NPI | 1548441934 |
---|---|
Doing Business As | BOSSIER CITY PROSTHETIC & ORTHOTIC LAB |
Entity Type | Organization |
Authorized Contact | JASON RALPH RIFFLE Prosthetist 318-746-5000 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 20011) |
335E00000X Prosthetic/Orthotic Supplier (Licence: OK 30) | |
Enumeration Date | 2007-11-14 |
Last Update Date | 2008-04-29 |