Organization
A2Z DME SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY EARL SURBAUGH (PRESIDENT)
(317) 725-8229
Entity
Organization
Contact information
Practice address
5333 COMMERCE SQUARE DR, SUITE K, INDIANAPOLIS, IN 46237-8627
(317) 893-2159
Mailing address
5333 COMMERCE SQUARE DR, SUITE K, INDIANAPOLIS, IN 46237-8627
(317) 893-2159
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200988730A
—
IN
Enumeration date
04/28/2011
Last updated
04/28/2011
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