| NPI | 1841460367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD RANDALL MOORE Owner/Podiatrist 970-472-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO 339) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |