| NPI | 1083959159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J BUDAK Manager 480-822-8216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2012-11-30 |