| NPI | 1598910531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MARK BENNETT President 480-636-1816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AZ 00233207) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 00233207) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |