Organization
MED CHOICE ONE MEDICAL GROUP AND SUPPLIER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AKANINYENE W ETUK (MANAGER)
(602) 266-4633
Entity
Organization
Contact information
Practice address
635 W INDIAN SCHOOL RD, SUITE 101B, PHOENIX, AZ 85013-3117
(602) 266-4633
(602) 266-4634
Mailing address
635 W INDIAN SCHOOL RD, SUITE 101B, PHOENIX, AZ 85013-3117
(602) 266-4633
(602) 266-4634
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20064003
AZ
Other
Enumeration date
08/17/2006
Last updated
08/22/2020
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