| NPI | 1467006635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN LYNN PETERSON Owner/Provider/Manager 480-326-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |