| NPI | 1194217125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT GOODMAN Provider / Owner 602-944-2222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2019-11-06 |