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Organization
DMTS
Active
Organization
DMTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICH GANLEY (CEO)
(602) 235-2255
Entity
Organization
Contact information
Practice address
2237 N 36TH ST, PHOENIX, AZ 85008-3001
(602) 235-2255
(602) 275-1914
Mailing address
2237 N 36TH ST, PHOENIX, AZ 85008-3001
(602) 235-2255
(602) 275-1914
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
C000423
AZ
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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