Organization
HIRSH'S SHOES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIDNEY M HIRSH (PRESIDENT)
(520) 325-3110
Entity
Organization
Contact information
Practice address
2934 E BROADWAY BLVD, TUCSON, AZ 85716-5312
(520) 325-3110
(520) 795-8487
Mailing address
2934 E BROADWAY BLVD, TUCSON, AZ 85716-5312
(520) 325-3110
(520) 795-8487
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
10-007818-N
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000303700
DEPT OF ECONOMIC SECURITY
AZ
Enumeration date
01/30/2007
Last updated
08/22/2020
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