Organization
SUNRISE MEDICAL SUPLLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN AKOMU OMIJIE (MANAGING DIRECTOR)
(602) 866-1512
Entity
Organization
Contact information
Practice address
13041 N 35TH AVE, SUITE C-5, PHOENIX, AZ 85029-1230
(602) 866-1512
Mailing address
13041 N 35TH AVE, SUITE C-5, PHOENIX, AZ 85029-1230
(602) 866-1512
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/19/2006
Last updated
08/22/2020
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