| NPI | 1750521969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN J. BEER Executive Member 307-778-2860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2009-02-27 |