NPI | 1730150038 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH BROCKMAN CEO 563-322-0971 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 060006850) |
Additional Taxonomies | 246Z00000X Specialist/Technologist, Other |
332B00000X Durable Medical Equipment & Medical Supplies | |
335E00000X Prosthetic/Orthotic Supplier | |
Enumeration Date | 2006-01-27 |
Last Update Date | 2010-12-09 |