Organization
MILLENNIUM MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY CLARIDGE (VICE-PRESIDENT)
(928) 348-0652
Entity
Organization
Contact information
Practice address
1741 S. 20TH AVE, SAFFORD, AZ 85546-4012
(928) 348-0652
(928) 348-0695
Mailing address
1741 S. 20TH AVE., SAFFORD, AZ 85546-4012
(928) 348-0652
(928) 348-0695
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
09/26/2011
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