| NPI | 1356896138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID K TOM Owner 480-372-8312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 42990) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2024-02-15 |