| NPI | 1770352569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE LANDESS Billing Analyst 480-656-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2024-06-13 |