| NPI | 1164729943 |
|---|---|
| Doing Business As | FAIRWAY MEDICAL |
| Entity Type | Organization |
| Authorized Contact | LISA KLIMCZAK Vice President 480-231-8849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2011-02-14 |