| NPI | 1487842811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRYNA MARCHUK President 623-972-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 5426870001) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |