| NPI | 1891758223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE HANSBROUGH Owner 573-785-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO 36376) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2010-02-11 |