| NPI | 1164832002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CRAIG BROUGH Chief Executive Officer 702-410-7783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV NV20131692195) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |