| NPI | 1760471726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY A WINZENRIED President 307-754-7257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WY 4931310001) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2010-07-19 |