Organization
MERCURY MEDICAL LOGISTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF BLAIR (DIRECTOR)
(602) 661-0679
Entity
Organization
Contact information
Practice address
5060 N 19TH AVE, STE 300-#19, PHOENIX, AZ 85015
(602) 661-0679
Mailing address
11201 N TATUM BLVD, STE 300 #97551, PHOENIX, AZ 85028
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
08/15/2022
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