| NPI | 1720496284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R HOLLAND Owner 337-824-3819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-08-06 |