| NPI | 1184965477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BRADLEY PARKER Owner/Manager 602-318-7717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 20916216-T) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2022-10-06 |