Organization
AAA MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VALERI V KOUSARINE (OWNER)
(623) 842-1900
Entity
Organization
Contact information
Practice address
4220 W NORTHERN AVE, SUITE 114, PHOENIX, AZ 85051-5753
(623) 842-1900
(623) 842-1905
Mailing address
4220 W NORTHERN AVE, SUITE 114, PHOENIX, AZ 85051-5756
(623) 842-1900
(623) 842-1905
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/17/2006
Last updated
06/13/2008
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