| NPI | 1275800591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR R. YUSUPOV Managing Employee 602-266-2272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2012-06-04 |