| NPI | 1821346065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR D MUNGER President/Practitioner 907-743-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: DE CPO01700) |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2012-08-20 |