| NPI | 1699339788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR T FERGUSON Owner 480-466-6156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |