Organization
SPECTICKLES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM G JOHNSTON (PRESIDENT)
(602) 943-1663
Entity
Organization
Contact information
Practice address
9225 N 3RD ST STE 104, PHOENIX, AZ 85020-2455
(602) 943-1663
Mailing address
9225 N 3RD ST STE 104, PHOENIX, AZ 85020-2455
(602) 943-1663
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
894E
AZ
Other
Enumeration date
01/15/2007
Last updated
08/22/2020
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