| NPI | 1588912653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM S STANO President Of Managing Member 208-343-8907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |