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Organization

STATESERV MEDICAL OF PHOENIX LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER ROODE (COO)
(877) 633-7250
Entity
Organization

Contact information

Practice address
5234 W. MISSOURI, GLENDALE, AZ 85301
(877) 633-7250
Mailing address
1201 SOUTH ALMA SCHOOL RD, SUITE 4000, MESA, AZ 85210

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
04/03/2020
Last updated
04/03/2020
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