| NPI | 1750500468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN MICHAEL VIGEE Owner 985-649-9795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2008-05-05 |