| NPI | 1922677749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MOSHIRI Manager 602-441-3573 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2022-02-24 |