NPI | 1962515783 |
---|---|
Doing Business As | ADVANCED TISSUE |
Entity Type | Organization |
Authorized Contact | DOUGLAS KEVIN LAMB Chief Executive Officer 501-217-9900 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-08-16 |
Last Update Date | 2015-10-02 |