| NPI | 1669721585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VADIM PODINOVSKIY Principal 303-880-4435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |