Healthcare Provider Details

I. General information

NPI: 1801272489
Provider Name (Legal Business Name): SUPERSTITION MEDICAL EQUIPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2015
Last Update Date: 08/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 S STARR RD
APACHE JUNCTION AZ
85119-6800
US

IV. Provider business mailing address

2620 S STARR RD
APACHE JUNCTION AZ
85119-6800
US

V. Phone/Fax

Practice location:
  • Phone: 480-208-9826
  • Fax:
Mailing address:
  • Phone: 480-208-9826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY QUIGGLE
Title or Position: OWNER
Credential:
Phone: 480-208-9826