Durable Medical Supply
NPI #1194358465 in Lake Havasu City, Arizona
Provider Information
- NPI Number
- 1194358465
- Entity Type
- Organization
- Organization Name
- Durable Medical Supply
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Feb 14, 2020
- Last Updated
- May 29, 2020
Practice Location
- Address
- 344 LONDON BRIDGE RD STE F
- City
- Lake Havasu City
- State
- Arizona
- ZIP Code
- 86403-4619
- Phone
- (928) 302-3140
Authorized Official
- Name
- DEZMEN M HEWITT
- Title
- AUTHORIZED OFFICIAL
- Phone
- (928) 302-3140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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