| NPI | 1003862681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER KOCHAROV President 623-972-8028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 1131039) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-22 |