NPI | 1699957928 |
---|---|
Doing Business As | ALLOPLASTIC RECONSTRUCTION INC |
Entity Type | Organization |
Authorized Contact | MICHAEL D KACZKOWSKI President 501-265-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2007-11-28 |
Last Update Date | 2020-10-02 |