Organization
SKYLINE MEDICAL SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT JAMES DESIDERIO (PRESIDENT)
(520) 302-4008
Entity
Organization
Contact information
Practice address
5240 E PIMA ST # 118, TUCSON, AZ 85712-3630
(520) 302-4008
Mailing address
5032 E CAMINO ALISA, TUCSON, AZ 85718-4602
(520) 302-4008
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/23/2011
Last updated
05/23/2011
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