| NPI | 1790702728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LEE ZUCKERMAN Presdent 480-882-0903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 20112658) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-08-22 |