Organization
PREMIER HEALTHCARE DME SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI M DUTRA (OFFICE MANAGER)
(480) 622-0352
Entity
Organization
Contact information
Practice address
20851 E RITTENHOUSE RD STE E103, QUEEN CREEK, AZ 85142-4493
(480) 677-2800
(888) 503-3238
Mailing address
20851 E RITTENHOUSE RD STE E103, QUEEN CREEK, AZ 85142-4493
(480) 677-2800
(888) 503-3238
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
006493
AZ
Other
Enumeration date
12/19/2016
Last updated
03/09/2017
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