| NPI | 1790470847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF BLAIR Authorized Representative 602-492-8832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-04-05 |