| NPI | 1598165433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN WILK Owner 303-758-4865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CO 104945) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |