| NPI | 1821479205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SCOTT WUERKER Owner 970-407-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CO 6693) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |