# JSW MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750863080
- **Authorized official:** JAMES WILLA (MANAGER)
- **Authorized official phone:** (602) 782-8481

## Contact information

- **Practice address:** 1840 E WARNER RD STE 124, TEMPE, AZ 85284-3445
- **Practice address phone:** (602) 782-8481
- **Mailing address:** DEPT \# 880246 P.O. BOX 29650, PHOENIX, AZ 85038-9650
- **Mailing address phone:** (602) 782-8481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 09/04/2018
- **Last updated:** 09/24/2018