Martin Claude David LICENSED DME PROVIDE

NPI 1073991147 - Contractor - 171WH0202X

NPI Details
NPI 1073991147
Gender Male
Enumeration Date 05/11/2015
Last Updated 05/11/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
15029 N THOMPSON PEAK PKWY
B111-580
SCOTTSDALE AZ, 85260-2217, US
Phone (602) 653-1378
Fax (602) 532-7628
Business Location
15029 N THOMPSON PEAK PKWY
B111-580
SCOTTSDALE AZ, 85260-2217, US
Phone (602) 653-1378
Fax (602) 532-7628
Toxanomy
Taxonomy Code 171WH0202X
License State Arizona
License Number CR12
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According to our database, Martin Claude David LICENSED DME PROVIDE NPI is 1073991147, taxonomy code is 171WH0202X and license number is CR12, license state is located at Arizona. Martin Claude David LICENSED DME PROVIDE physically located at 15029 N Thompson Peak Pkwy, Scottsdale AZ, 85260-2217. NPI Number Martin Claude David LICENSED DME PROVIDE has the Individual type.

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1073991147 NPI number is provided on an as is basis without warranty of any kind. 1073991147 is maintained by the National Plan & Provider Enumeration System. The contents of Martin Claude David LICENSED DME PROVIDE are for informational purposes only.