Organization
JSW MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WILLA (MANAGER)
(602) 782-8481
Entity
Organization
Contact information
Practice address
1840 E WARNER RD STE 124, TEMPE, AZ 85284-3445
(602) 782-8481
Mailing address
DEPT # 880246 P.O. BOX 29650, PHOENIX, AZ 85038-9650
(602) 782-8481
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
09/04/2018
Last updated
09/24/2018
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