| NPI | 1255623120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI J ZUBA Manager 602-993-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 07-598140-Y) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2011-05-10 |