| NPI | 1710181482 |
|---|---|
| Doing Business As | WAGNER QUALITY SHOES |
| Entity Type | Organization |
| Authorized Contact | GREGORY MYRON WAGNER Pres. 412-682-2759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-08-22 |