Organization
AMERICAN SOUTHWEST CPM & MEDICAL SUPPLY, INC.
Active
Parent organization
AMERICAN SOUTHWEST CPM AND MEDICAL SUPPLY INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERICAN SOUTHWEST CPM AND MEDICAL SUPPLY INC
Authorized official
MR. KEVIN ROYCE RANDALL (PRESIDENT OWNER)
(602) 957-4700
Entity
Organization
Contact information
Practice address
8686 N CENTRAL AVE, #112, PHOENIX, AZ 85020-3153
(602) 957-4700
(602) 264-9015
Mailing address
8686 N CENTRAL AVE, #112, PHOENIX, AZ 85020-3153
(602) 957-4700
(602) 264-9015
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
10/03/2005
Last updated
09/14/2016
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