Organization
PHOENIX MEDICAL SUPPLY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAPHNE I JONES (OWNER)
(804) 326-0411
Entity
Organization
Contact information
Practice address
3 N.DAISY AVE, # 1, HIGHLANDSPRINGS, VA 23075-1420
(804) 326-0411
Mailing address
3 N.DAISY AVE, # 1, HIGHLANDSPRINGS, VA 23075-1420
(804) 326-0411
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
07/08/2006
Last updated
08/22/2020
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