| NPI | 1912201401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TODD WEIDE President 702-325-1346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2010-12-27 |