| NPI | 1932940244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDAL CHET RUGER Managing Partner 307-267-2116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2026-05-29 |