| NPI | 1134262108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD EUGENE KREUTZBERG Manager 602-254-6541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 07-537222-H) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |