| NPI | 1982421012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RURIC ANDERSON CEO 848-336-1789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2024-09-20 |
| Last Update Date | 2025-10-15 |