Organization
ARIZONA MEDICAL EQUIPMENT & SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVEK KHANNA (CEO)
(623) 266-7255
Entity
Organization
Contact information
Practice address
3185 CLEARWATER DR, SUITE A, PRESCOTT, AZ 86305-7119
(928) 771-9228
(928) 771-0376
Mailing address
PO BOX 305, GLENDALE, AZ 85311-0305
(623) 266-7255
(623) 266-7254
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5517853
AZ
332B00000X
Durable Medical Equipment & Medical Supplies
888015906610
AZ
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
C000771
AZ
Other
Enumeration date
07/28/2006
Last updated
09/23/2014
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