Organization
PHOENIX SYSTEMS LLC
Active
Other names
Phoenix Systems
Organization subpart
No
Provider details
NPI number
Authorized official
JON ADAM PETTY MANAGING MEMBER (MANAGING MEMBER)
(435) 691-0629
Entity
Organization
Contact information
Practice address
1450 S SANDHILL DR, WASHINGTON, UT 84780-8129
(435) 673-0777
Mailing address
1450 S SANDHILL DR, WASHINGTON, UT 84780-8129
(435) 673-0777
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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