Organization
PHOENIX MEDICAL PRODUCTS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE GRACE TUCKER (MANAGER)
(603) 357-2201
Entity
Organization
Contact information
Practice address
28 ROXBURY ST, KEENE, NH 03431-3265
(603) 357-2201
Mailing address
28 ROXBURY ST, P.O. BOX 504, KEENE, NH 03431-3265
(603) 357-2201
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002219
—
VT
05
—
80002219
—
NH
Enumeration date
11/01/2006
Last updated
05/31/2013
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