Goodwin Street Medical Supply LLC
NPI #1205802899 in Prescott, Arizona
Provider Information
- NPI Number
- 1205802899
- Entity Type
- Organization
- Organization Name
- Goodwin Street Medical Supply LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Feb 24, 2006
- Last Updated
- May 21, 2015
Practice Location
Authorized Official
- Name
- MICHELLE IRENE HEROD
- Title
- OWNER
- Phone
- (928) 541-1825
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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