Organization
SOURCEONE MEDICAL INC
Active
Other names
SOURCEONE MEDICAL INC
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK BRYAN (ADM OFFICE MGR)
(888) 447-9056
Entity
Organization
Contact information
Practice address
5028 S ASH AVE, TEMPE, AZ 85282-6848
(888) 447-9056
(800) 588-1253
Mailing address
38 TESLA, SUITE 150, IRVINE, CA 92618-4670
(888) 447-9056
(800) 588-1253
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/09/2006
Last updated
10/31/2007
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