Organization
180 MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY B HENDRIX (CFO)
(405) 443-2985
Entity
Organization
Contact information
Practice address
5016 S ASH AVE STE 109, TEMPE, AZ 85282-6845
(408) 584-6638
(888) 718-0633
Mailing address
8516 NW EXPRESSWAY, OKLAHOMA CITY, OK 73162-6010
(877) 688-2729
(888) 718-0633
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
W002081
AZ
Other
Enumeration date
11/10/2009
Last updated
07/22/2022
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