Organization
AZER MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FAKHRY WILSON AZER P.T. (OWNER)
(309) 344-3400
Entity
Organization
Contact information
Practice address
156 E MAIN ST, GALESBURG, IL 61401-4609
(309) 342-2937
Mailing address
156 E MAIN ST, GALESBURG, IL 61401-4609
(309) 342-2937
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/06/2009
Last updated
02/08/2012
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