| NPI | 1750432837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM G JOHNSTON President 602-943-1663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AZ 894e) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2020-08-22 |