Organization
CREEKER MEDICAL, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY J. SIMMS (CEO)
(480) 575-6521
Entity
Organization
Contact information
Practice address
4785 E. COACHWHIP WAY, CAVE CREEK, AZ 85331-4700
(480) 575-6521
Mailing address
4815 E CAREFREE HWY, SUITE 108, CAVE CREEK, AZ 85331-4717
(480) 575-6521
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5725850001
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376694612
NPI
AZ
Enumeration date
01/15/2007
Last updated
06/21/2018
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