| NPI | 1659981389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMEN DERIAN Medical Doctor 480-755-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |