NPI | 1790064004 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH M. RICCIARDI Physician 870-423-3774 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR E1571) |
Enumeration Date | 2011-08-04 |
Last Update Date | 2011-08-04 |