| NPI | 1730160532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD T GRUNERT President 802-655-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2010-02-25 |