| NPI | 1265175285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN RIEK President/Owner 480-300-4559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2022-04-18 |