| NPI | 1255523643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXEY DROGOMIRETSKIY CEO 602-265-1694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2008-01-18 |