| NPI | 1740682038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON WILSON President 602-320-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |