Organization
VITAL PEAK MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAZEM J ATIYA (OWNER)
(833) 340-7037
Entity
Organization
Contact information
Practice address
10000 N 31ST AVE STE 100-133, PHOENIX, AZ 85051-9582
(833) 340-7037
Mailing address
10000 N 31ST AVE STE C100-133, PHOENIX, AZ 85051-1395
(951) 651-8077
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
01/03/2025
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