| NPI | 1881808483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL B ROTMAN Owner 314-336-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2014-09-15 |