Organization
STATESERV MEDICAL OF PHOENIX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER ROODE (COO)
(877) 633-7250
Entity
Organization
Contact information
Practice address
220 E. GERMANN RD, SUITE 110, GILBERT, AZ 85297
(877) 633-7250
(623) 777-4595
Mailing address
1201 SOUTH ALMA SCHOOL RD, SUITE 4000, MESA, AZ 85210
(623) 777-4599
(623) 777-4595
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
471068038
AZ
Other
Enumeration date
04/07/2016
Last updated
10/07/2020
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