| NPI | 1972890754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL LYNN CRAMER President 928-634-3627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 13021659) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2013-05-01 |