NPI | 1689920142 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM C SUNDBERG President 907-562-0560 |
Organization Subpart ? | Yes |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AK 741113) |
Enumeration Date | 2012-08-01 |
Last Update Date | 2012-08-01 |