| NPI | 1689090888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART G STANGELAND Authorized Official 417-820-3514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-21 |