| NPI | 1780715698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET BURKE Chief Financial Officer 623-876-3967 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ OTC4107) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: AZ OTC4107) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-09-19 |