| NPI | 1093263543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXWELL JOHNSON Doctor/Owner 520-975-4965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 8922) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |