Provider Demographics
NPI:1174711196
Name:DESERT MEDICAL AND MOBILITY PRODUCTS, LLC
Entity type:Organization
Organization Name:DESERT MEDICAL AND MOBILITY PRODUCTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:ZAMORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-899-1300
Mailing Address - Street 1:1076 W CHANDLER BLVD
Mailing Address - Street 2:STE 108
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-5225
Mailing Address - Country:US
Mailing Address - Phone:480-899-1300
Mailing Address - Fax:480-899-1307
Practice Address - Street 1:1076 W CHANDLER BLVD
Practice Address - Street 2:STE 108
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5225
Practice Address - Country:US
Practice Address - Phone:480-899-1300
Practice Address - Fax:480-899-1307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAPPLIED332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies