| NPI | 1033363072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN BARISIC Owner 509-619-1498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: WA 602869617) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2011-05-03 |