| NPI | 1255904884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA FLETCHER Provider Enrollment Coordinator 303-371-0073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-07-21 |