Organization
ALTAIR INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT BAUMANN (OWNER)
(228) 222-4354
Entity
Organization
Contact information
Practice address
9812 POKAI WAY, DIAMONDHEAD, MS 39525-4342
(228) 222-4354
Mailing address
9812 POKAI WAY, DIAMONDHEAD, MS 39525-4342
(228) 222-4354
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
12/07/2021
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