| NPI | 1699904524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAUSIF HASAN Director 480-626-0878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 20462631) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2010-04-27 |