| NPI | 1245389105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT S TRAMMELL Owner 623-434-4895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 07681143-U) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2023-07-31 |