| NPI | 1669512257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY PAZ Gm 208-233-2063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: ID 526CP) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |