| NPI | 1669475000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BRIAN MILLER President 970-513-1183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CO 40705800001) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO 40705800001) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2020-08-22 |