| NPI | 1144699695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKOLAY LOPATIN Owner 720-351-6855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO 20156000869) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |