| NPI | 1902962590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN C. MARSHALL President 602-493-0509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 20098850) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |