Organization
SIERRA VISTA MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED ZIDAN (OWNER)
(602) 888-3285
Entity
Organization
Contact information
Practice address
3101 N CENTRAL AVE, NUM A208, PHOENIX, AZ 85012-2645
(602) 888-3285
Mailing address
3101 N CENTRAL AVE # A208, PHOENIX, AZ 85012-2645
(602) 888-3285
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
11/06/2025
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