| NPI | 1427113802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW J MUNSON President 505-285-6934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NM 02414449005) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-12-11 |