NPI | 1568057057 |
---|---|
Doing Business As | DIA-FOOT |
Entity Type | Organization |
Authorized Contact | ROBERT MARK GAYNOR President 156-186-6338 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2021-03-05 |
Last Update Date | 2021-03-05 |