| NPI | 1669652616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JACOFSKY Md 623-537-5600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |