| NPI | 1841778982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN F GRUBER Managing Partner 602-734-1826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-07-31 |