| NPI | 1730459876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASCHON VAN PROCTOR President 480-352-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |