| NPI | 1558019729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL BAKER Sales Representative 314-775-9446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2022-03-16 |