NPI | 1831586338 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILIP PLOSKA Md, Owner 770-892-0273 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2015-04-22 |
Last Update Date | 2021-05-04 |