| NPI | 1124215959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE P COFFEY President 480-892-3180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 265) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2008-01-30 |