Organization
SOUTHWEST MEDICAL APPLIANCE,S INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE LUIS (PRESIDENT)
(818) 970-0385
Entity
Organization
Contact information
Practice address
5612 N 27TH AVE, SUITE 5, PHOENIX, AZ 85017-2600
(818) 970-0385
Mailing address
5612 N 27TH AVE, SUITE 5, PHOENIX, AZ 85017-2600
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/25/2009
Last updated
12/02/2009
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