| NPI | 1972538460 |
|---|---|
| Doing Business As | COMFORTWISE FOOTWEAR |
| Entity Type | Organization |
| Authorized Contact | JOHN DURR WISE Principal 601-925-9473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2010-11-09 |