| NPI | 1639440787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VADIM PODINOVSKIY Principal 303-317-3077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-01-21 |
| Last Update Date | 2012-01-21 |