| NPI | 1417317082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN YOUNG Owner 520-576-8918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 2194340) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-04-23 |