MEDICARE: ARIZONA MEDICAL SUPPLY & EQUIPMENT

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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1043185689
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARIZONA MEDICAL SUPPLY & EQUIPMENT

Provider Business Mailing Address
First Line	:	5433 W SAINT JOHN RD
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85308-5384
Country	:	US
Telephone Number	:	623-986-5731
Fax Number	:	623-986-5731

Provider Business Practice Location Address
First Line	:	5433 W SAINT JOHN RD
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85308-5384
Country	:	US
Telephone Number	:	623-986-5731
Fax Number	:	623-986-5731

Authorized Official
Title or Position	:	OWNER
Name	:	MAJA SUTKOVIC
Credential	:
Telephone Number	:	623-986-5731

Provider Enumeration Date	:	10/06/2025
Last Update Date	:	10/06/2025

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