| NPI | 1649525858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON J MAXON MALDONADO Manager 602-633-0730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-10-12 |