| NPI | 1275103442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN CHRISTOPHER THIES Owner 480-681-1896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2021-06-29 |