| NPI | 1184611329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ROYCE RANDALL President Owner 602-957-4700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2016-09-14 |