Organization
TRAILHEAD MEDICAL,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS BRADLEY PARKER (OWNER/MANAGER)
(602) 318-7717
Entity
Organization
Contact information
Practice address
8902 N CENTRAL AVE STE 10, PHOENIX, AZ 85020-2883
(602) 318-7717
(866) 617-8449
Mailing address
7702 N 1ST AVE, PHOENIX, AZ 85021-7202
(602) 318-7717
(866) 617-8449
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20916216-T
AZ
Other
Enumeration date
03/12/2013
Last updated
10/06/2022
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