| NPI | 1629032495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE BUCKLEY Owner 928-522-0507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 03029785) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2020-08-22 |