| NPI | 1578645339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A WEIGHT President 208-523-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2019-06-17 |