Organization
OLEH ROMANENKO
Active
Other names
MESA MEDICAL EQUIPMENT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLEH ROMANENKO (OWNER)
(480) 615-6564
Entity
Organization
Contact information
Practice address
1616 E MAIN ST STE 115, MESA, AZ 85203-9072
(480) 615-6564
(480) 615-6554
Mailing address
1616 E MAIN ST STE 115, MESA, AZ 85203-9072
(480) 615-6564
(480) 615-6554
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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