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PEORIA, AZ
NPI1578631990
Entity TypeOrganization
Authorized ContactOFER N EYTAN
Physician
623-972-4460
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2006-12-01
Last Update Date2020-08-22
Business Address
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9127 W THUNDERBIRD RD SUITE 104
PEORIA, AZ 85381
Phone number: 623-972-4460
Mailing Address
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9127 W THUNDERBIRD RD SUITE 104
PEORIA, AZ 85381
Phone number: 623-972-4460