| NPI | 1801031273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEE GOODMAN Office Manager 970-669-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2012-11-01 |