Organization
EXTREMITY MEDICAL
Active
Organization
EXTREMITY MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVAN D WALKER (MANAGING DIRECTOR)
(602) 405-5105
Entity
Organization
Contact information
Practice address
1601 N 9TH AVE, PHOENIX, AZ 85007-1707
(602) 405-5105
(602) 391-2110
Mailing address
1601 N 9TH AVE, PHOENIX, AZ 85007-1707
(602) 405-5105
(602) 391-2110
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up