| NPI | 1790741569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KELLER Owner/President 928-775-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AZ 20102224) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2015-01-21 |