| NPI | 1790823128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN R DAVIS President 928-759-0597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AZ 1121070) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2008-02-15 |