| NPI | 1912447053 |
|---|---|
| Doing Business As | MOUNTAIN INSOLES |
| Entity Type | Organization |
| Authorized Contact | RUSSEL JOSEPH BOLLIG President 303-919-6917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |