| NPI | 1518336494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN DICKINSON Cred Spec 719-406-7844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO 20156000510) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |