| NPI | 1205883246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BRYANT KOENEMAN Chief Science Officer 480-557-0448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 07659863-N) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AZ 07659863-N) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2012-02-29 |