Organization Name: | BREATHING DISORDERS SERVICES |
NPI Number: | 1043206667 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELLA TRUITT (CHIEF OPERATING OFFICER) |
Mailing Address: | 4255 N Stockton Hill Rd Suite 6 Kingman |
State: | AZ US |
Postal Code: | 864092482 |
Phone Number: | 9286929525 |
Fax Number: | 9286929502 |
NPI Enumeration Date: | 09/20/2005 |
NPI Last Update Date: | 04/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 08036925N |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |