| NPI | 1740375807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK STEVEN FARMER President/Owner 480-654-2292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 07381180X) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2012-09-28 |