| NPI | 1326217902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH WILLIAM HAMMOND Member 623-399-8939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-12-11 |