| NPI | 1639626575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRUCE EINERTSON Owner 314-966-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |