| NPI | 1710017512 |
|---|---|
| Doing Business As | DAR LO SHOES |
| Entity Type | Organization |
| Authorized Contact | RONALD D DYMOND Owner 316-262-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |