NPI | 1689804106 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM STANLEY STAUFFER President 919-736-1010 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: DE 2479) |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
Enumeration Date | 2009-07-17 |
Last Update Date | 2013-09-18 |