Organization
CHANDLER MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH STEPHANE Z. MONGU (PRESIDENT)
(480) 917-0500
Entity
Organization
Contact information
Practice address
955 W CHANDLER BLVD, SUITE 2, CHANDLER, AZ 85225-4906
(480) 917-0500
(480) 917-0600
Mailing address
955 W CHANDLER BLVD, SUITE 2, CHANDLER, AZ 85225-4906
(480) 917-0500
(480) 917-0600
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20161365
AZ
Other
Enumeration date
06/21/2007
Last updated
12/19/2007
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