MEDICARE: ASA ENTERPRIZES

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	:	1316179526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASA ENTERPRIZES

Provider Business Mailing Address
First Line	:	3410 N SEA PNES
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85215-0920
Country	:	US
Telephone Number	:	480-924-1003
Fax Number	:

Provider Business Practice Location Address
First Line	:	3410 N SEA PNES
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85215-0920
Country	:	US
Telephone Number	:	480-924-1003
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	BARBARA S HINDORFF
Credential	:
Telephone Number	:	480-924-1003

Provider Enumeration Date	:	08/20/2009
Last Update Date	:	08/20/2009

Similar Medicare Providers

1194884189 — QLP, LLC
Practice Location Address:

3410 N SEA PNES
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85215-0920

Practice Phone: 602-329-5711
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1598134892 — SARAH AGNES GARCIA PA-C
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1194727396 — DR. GERALD CRAIG GODARD DC
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1902804669 — SHERYL SPADONE M.D.
Practice Location Address:

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1659379899 — MEDICAL AID CORPORATION
Practice Location Address:

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1689668493 — DR. RYAN R STRATFORD MD
Practice Location Address:

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Directions to “ASA ENTERPRIZES ” Practice Location

Language	Start Address	Practice Location

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