| Organization Name: | PHYSICIAN ENGINEERED PRODUCTS INC. |
| NPI Number: | 1033316708 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROB ROSE (CEO) |
| Mailing Address: | 103 Smith St Fryeburg |
| State: | ME US |
| Postal Code: | 040371182 |
| Phone Number: | 2079351256 |
| Fax Number: | 2079351257 |
| NPI Enumeration Date: | 06/27/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BN1400X |
| License Number: | WH70001334 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Nursing Facility Supplies |
| Taxonomy Definition: | |