| NPI | 1902473481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAUL WILKINSON President 307-237-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2021-06-04 |