| NPI | 1780053843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GARY AMES Manager 303-662-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |