| NPI | 1720724628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA LEAH SEARLES Branch Manager 307-333-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2022-05-12 |