| NPI | 1134696180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PONGRATZ President 602-222-3032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2021-08-06 |