Organization
ELN INNOVATIVE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC J DOW (OWNER)
(602) 290-7685
Entity
Organization
Contact information
Practice address
8426 E SHEA BLVD, SCOTTSDALE, AZ 85260-6634
(480) 664-6638
(480) 664-6639
Mailing address
8426 E SHEA BLVD, SCOTTSDALE, AZ 85260-6634
(480) 664-6638
(480) 664-6639
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20153085
AZ
Other
Enumeration date
01/25/2007
Last updated
11/13/2007
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