| NPI | 1386925626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICKOLAS S JOHANNSEN Vice President 602-354-7181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2012-05-29 |