| NPI | 1487275012 |
|---|---|
| Doing Business As | PHOENIX MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | LEONID REZNIKOV General Partner 720-436-7613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2023-07-06 |