Durable Medical Supply
Durable Medical Equipment & Medical Supplies in Lake Havasu City, AZ. Organization (NPI-2).
NPI number1194358465
StatusActive
Last updated in NPPESMay 29, 2020
Details
- NPI
- 1194358465
- Entity type
- Organization (NPI-2)
- Legal business name
- Durable Medical Supply
- Organization subpart
- No
- Enumeration date
- Feb 14, 2020
- Certification date
- May 29, 2020
- Last updated
- May 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
344 London Bridge Rd Ste FLake Havasu City, AZ 86403-4619
Phone 928-302-3140 · Fax 928-302-3139
Mailing address
344 London Bridge Rd Ste FLake Havasu City, AZ 86403-4619
Phone 928-302-3140 · Fax 928-302-3139
Authorized official
Dezmen M Hewitt
Authorized Official
9283023140
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All 14 Durable Medical Equipment & Medical Supplies providers in Lake Havasu City · All 1,016 providers in Lake Havasu City
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