Ultra Medical Supply
NPI #1184024879 in Bullhead City, Arizona
Provider Information
- NPI Number
- 1184024879
- Entity Type
- Organization
- Organization Name
- Ultra Medical Supply
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Aug 29, 2014
- Last Updated
- Sep 10, 2014
Practice Location
- Address
- 1331 BASELINE RD
- Address 2
- UNIT 2
- City
- Bullhead City
- State
- Arizona
- ZIP Code
- 86442-6719
- Phone
- (718) 796-7555
Authorized Official
- Name
- MR. EZRIEL UNGAR
- Title
- CONTROLLER
- Phone
- (718) 796-7555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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