| NPI | 1841596129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BROKAW Manager 702-443-5878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV NV20101840350) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-02 |