| NPI | 1861878613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED BIETSCH Vice President 573-442-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2019-08-13 |