NPI | 1740219914 |
---|---|
Doing Business As | VILLAGE SHOEMAKER |
Entity Type | Organization |
Authorized Contact | ROBERT U GLAZIER Owner 801-224-1470 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2006-07-01 |
Last Update Date | 2020-08-22 |