| NPI | 1780781922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD ALBERT VAHL President 417-886-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MO BUS-0027960) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |