| NPI | 1124579628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD T BAKER Owner/Physician 602-538-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 42290) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2021-04-28 |