| NPI | 1205017621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE BAZAR President 719-351-9437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |