| Premier Healthcare Dme Supply Llc | |
|
20851 E Rittenhouse Rd Ste E103 Queen Creek AZ 85142-4493 | |
| (480) 677-2800 | |
| (888) 503-3238 |
| Full Name | Premier Healthcare Dme Supply Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 20851 E Rittenhouse Rd Ste E103, Queen Creek, Arizona |
| Authorized Official Name and Position | Brandi M Dutra (OFFICE MANAGER) |
| Authorized Official Contact | 4806220352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Healthcare Dme Supply Llc 20851 E Rittenhouse Rd Ste E103 Queen Creek AZ 85142-4493 Ph: (480) 677-2800 | Premier Healthcare Dme Supply Llc 20851 E Rittenhouse Rd Ste E103 Queen Creek AZ 85142-4493 Ph: (480) 677-2800 |
| NPI Number | 1447794979 |
|---|---|
| Provider Enumeration Date | 12/19/2016 |
| Last Update Date | 03/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447794979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 006493 (Arizona) | Primary |
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