| NPI | 1023034535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W LAYMAN Member 480-890-0878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 20059423W) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2012-12-14 |