Organization
ONE SOURCE DME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD SLATTERY JR. (MANAGING MEMBER)
(513) 325-9304
Entity
Organization
Contact information
Practice address
3080 N CIVIC CENTER PLZ, SUITE #6, SCOTTSDALE, AZ 85251-6921
(480) 375-1161
Mailing address
3080 N CIVIC CENTER PLZ, SUITE #6, SCOTTSDALE, AZ 85251-6921
(480) 375-1161
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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