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NPI Code Detail

MEDICARE: WIGS AMOR, INC.

MEDICARE: WIGS AMOR, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1841455904
Entity Type Code : Organization
Provider Name (Legal Business Name) : WIGS AMOR, INC.
Provider Business Mailing Address
First Line : 13636 N TATUM BLVD STE 7
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-6457
Country : US
Telephone Number : 602-870-4441
Fax Number : 602-923-7701
Provider Business Practice Location Address
First Line : 13636 N TATUM BLVD STE 7
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-6457
Country : US
Telephone Number : 602-870-4441
Fax Number : 602-923-7701
Authorized Official
Title or Position : OWNER
Name : KARA LEE
Credential :
Telephone Number : 623-332-1411
Provider Enumeration Date : 07/28/2008
Last Update Date : 07/28/2008

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Directions to “WIGS AMOR, INC. ” Practice Location

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