| NPI | 1780133926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE SIEGFRIED Member 602-595-5027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ C001070) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-10-07 |