Healthcare Provider Details

I. General information

NPI: 1043185689
Provider Name (Legal Business Name): ARIZONA MEDICAL SUPPLY & EQUIPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5433 W SAINT JOHN RD
GLENDALE AZ
85308-5384
US

IV. Provider business mailing address

5433 W SAINT JOHN RD
GLENDALE AZ
85308-5384
US

V. Phone/Fax

Practice location:
  • Phone: 623-986-5731
  • Fax: 623-986-5731
Mailing address:
  • Phone: 623-986-5731
  • Fax: 623-986-5731

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: MAJA SUTKOVIC
Title or Position: OWNER
Credential:
Phone: 623-986-5731