Organization
ARIZONA BREATHE RIGHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN LYNN PETERSON II RRT (OWNER/PROVIDER/MANAGER)
(480) 326-8100
Entity
Organization
Contact information
Practice address
1350 S ELLSWORTH RD APT 1122, MESA, AZ 85209-2809
(480) 326-1819
(480) 522-1864
Mailing address
1350 S ELLSWORTH RD APT 1122, MESA, AZ 85209-2809
(480) 326-1819
(480) 522-1864
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
480036
—
AZ
Enumeration date
07/26/2019
Last updated
07/26/2019
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