NPI | 1669759486 |
---|---|
Entity Type | Organization |
Authorized Contact | OUMOU K BAH Compliance & Medicaid Specialist 602-393-8188 |
Organization Subpart ? | Yes |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2011-11-08 |
Last Update Date | 2024-10-15 |