| NPI | 1124188578 |
|---|---|
| Other Name | MEDICAL SUPERCENTER |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY K TITUS Business Administrator 480-924-5914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AZ 2686) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |