| NPI | 1659671378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANE B CHRISTIANSEN Vice President 307-868-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2012-06-18 |