Organization
PHOENIX SYSTEMS LLC
Active
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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