| NPI | 1336961945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MD MOZAMMAL K RAJU Owner 701-975-7101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2024-10-26 |
| Last Update Date | 2024-10-26 |