| NPI | 1902957806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE SORENSEN Practice Administrator 480-563-8450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 20093349-X) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |