| NPI | 1699918508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JOHN PAGANO Partner 314-814-4607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2026-06-12 |