| NPI | 1851096770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HIDALGO Vice President 307-223-5806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-03-31 |