| NPI | 1720806805 |
|---|---|
| Other Name | CODY MEDICAL ARTS COMPLEX DME |
| Entity Type | Organization |
| Authorized Contact | HANNAH HANNAH MCRAE Chief Financial Officer 307-578-2490 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-09-28 |
| Last Update Date | 2024-09-28 |