| NPI | 1659379519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J. LAROSE President 712-323-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery |
| 2251X0800X Physical Therapist Orthopedic | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2012-07-16 |