| NPI | 1619159142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BRUCE CUTHBERT Owner 417-627-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 18620531) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2021-10-27 |