| NPI | 1063671154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK J MCNEIL Owner 775-329-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NV 332bx200x) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2009-03-23 |