Organization
DME ADVANTA, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY JOHN SIMMS (PRESIDENT)
(480) 575-6521
Entity
Organization
Contact information
Practice address
4815 E CAREFREE HWY, SUITE 108, CAVE CREEK, AZ 85331-4717
(480) 575-6521
(480) 522-3939
Mailing address
4815 E CAREFREE HWY, SUITE 108, CAVE CREEK, AZ 85331-4717
(480) 575-6521
(480) 522-3939
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20162822
AZ
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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