| NPI | 1790514974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MYERS Owner 480-877-9818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |