| NPI | 1972937043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY D SMITH Member 720-998-9552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CO 922564188) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |