Organization
SENIOR EXECUTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON LEE ZUCKERMAN (PRESDENT)
(480) 882-0903
Entity
Organization
Contact information
Practice address
7027 N SCOTTSDALE RD, UNIT 115, SCOTTSDALE, AZ 85253-3682
(480) 882-0903
(480) 882-0903
Mailing address
7027 N SCOTTSDALE RD, UNIT 115, SCOTTSDALE, AZ 85253-3682
(480) 882-0903
(480) 882-0903
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20112658
AZ
Other
Enumeration date
07/16/2006
Last updated
08/22/2020
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