Organization
NEBSOURCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN YOUNG (OWNER)
(520) 576-8918
Entity
Organization
Contact information
Practice address
4890 W CAMINO DE LA AMAPOLA, TUCSON, AZ 85745
(520) 576-8918
(888) 872-0212
Mailing address
4890 W CAMINO DE LA AMAPOLA, TUCSON, AZ 85745
(520) 576-8918
(888) 872-0212
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2194340
AZ
Other
Enumeration date
02/25/2016
Last updated
04/23/2016
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