| NPI | 1750863080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WILLA Manager 602-782-8481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-24 |