| NPI | 1346354354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY C LARSON Owner/President 602-938-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2021-06-28 |