| NPI | 1427334770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W MCGETTIGAN CEO/Medical Director 520-733-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AZ AZ12606) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AZ AZ12606) |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies (Licence: AZ AZ12606) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ AZ12606) | |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2018-10-24 |