| NPI | 1871994517 |
|---|---|
| Doing Business As | SOURCE ORTHOPEDIC SOLUTIONS |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH W GUSH Owner 866-425-3209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |