| NPI | 1740457472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAKSIM GREY Owner 303-521-3062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CO 4261172) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2012-08-31 |