| NPI | 1265724934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON CARL WHEELER President 480-656-9177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2024-02-20 |