| NPI | 1801062906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN CHAGOLLA Vascular Compression Speacialist 623-329-7945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 04001933) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |