Healthcare Provider Details
I. General information
NPI: 1336748250
Provider Name (Legal Business Name): DBM,LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/21/2020
Last Update Date: 05/02/2023
Certification Date: 05/02/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15160 N HAYDEN RD STE 100
SCOTTSDALE AZ
85260-2585
US
IV. Provider business mailing address
15160 N HAYDEN RD STE 100
SCOTTSDALE AZ
85260-2585
US
V. Phone/Fax
- Phone: 480-828-0879
- Fax:
- Phone: 507-269-4344
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARTY
FRANA
Title or Position: CEO
Credential:
Phone: 507-322-3457