Organization
SUPPLIES UNLIMITED CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS M MEDINA (PRESIDENT)
(520) 269-7937
Entity
Organization
Contact information
Practice address
2221 E BROADWAY BLVD, SUITE 203, TUCSON, AZ 85711
(520) 269-7937
(866) 760-8483
Mailing address
2221 E BROADWAY BLVD, SUITE 203, TUCSON, AZ 85711
(520) 269-7937
(866) 760-8483
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/12/2010
Last updated
08/16/2011
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