Organization
EVASYL MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. UDOAMAKA OBIEKEA (OWNER)
(480) 615-1900
Entity
Organization
Contact information
Practice address
950 W BIRCHWOOD AVE, 1, MESA, AZ 85210-8447
(480) 615-1900
(480) 615-1926
Mailing address
950 W BIRCHWOOD AVE, 1, MESA, AZ 85210-8447
(480) 615-1900
(480) 615-1926
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20108721
AZ
Other
Enumeration date
05/13/2006
Last updated
08/22/2020
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