Organization
VISTA HEALTHCARE SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN ANDREW HOVEY (OWNER/OPERATOR)
(928) 522-0507
Entity
Organization
Contact information
Practice address
2573 E 7TH AVE, FLAGSTAFF, AZ 86004-3722
(928) 522-0507
(928) 522-9324
Mailing address
2573 E 7TH AVE, FLAGSTAFF, AZ 86004-3722
(928) 522-0507
(928) 522-9324
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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