| NPI | 1659828739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD G MAURER Owner 702-386-9997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV NV20101789254) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |