| NPI | 1578688164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY JONES Business Resources Manager 480-403-6330 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2021-08-24 |