| NPI | 1780885939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FISCHER Owner 505-737-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NM 332BC3200X) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2008-07-07 |