Dme of Yuma LLC

NPI #1629404892 in San Luis, Arizona

Provider Information

NPI Number
1629404892
Entity Type
Organization
Organization Name
Dme of Yuma LLC
Subpart
Yes (part of a larger organization)
Parent Organization
ADULT AND PEDIATRIC REHABILITATION
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Sep 19, 2013
Last Updated
Sep 19, 2013

Practice Location

Address
1233 N MAIN STREET
Address 2
STE. 10
State
Arizona
ZIP Code
85349
Phone
(928) 722-6050

Authorized Official

Name
MR. SERGIO I MACIAS, P.T.
Title
OWNER/PHYSICAL THERAPIST
Phone
(928) 722-6050

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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