NPI | 1750557740 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH A BOVA O.D./Owner 724-439-4870 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA OEG000534) |
Enumeration Date | 2008-04-30 |
Last Update Date | 2008-04-30 |