Organization Name: | TMJ OF ARIZONA LLC |
NPI Number: | 1891104790 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GARY J CORE (MEMBER) |
Mailing Address: | 575 W Chandler Blvd Ste 127 Chandler |
State: | AZ US |
Postal Code: | 852257541 |
Phone Number: | 6028661429 |
Fax Number: | 6028661437 |
NPI Enumeration Date: | 08/05/2014 |
NPI Last Update Date: | 02/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |