| NPI | 1790989754 |
|---|---|
| Doing Business As | STAGNER ORTHOPEDIC SERVICES |
| Entity Type | Organization |
| Authorized Contact | BJ STAGNER Trustee Practitioner 615-868-7626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TN 3) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: TN 4) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |