Organization
COMPASSION MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLEANA IVANOV (PRESIDENT)
(480) 622-9777
Entity
Organization
Contact information
Practice address
2402 KIMBALL ST, HEBER, AZ 85928
(928) 535-3366
(928) 492-1022
Mailing address
PO BOX 636, OVERGAARD, AZ 85933-0636
(480) 622-9777
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
978494
—
AZ
Enumeration date
10/03/2018
Last updated
10/03/2018
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