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Contact Information

EXTREMITY MEDICAL
1601 N 9TH AVE
PHOENIX, AZ85007-1707
 Phone: 602-405-5105
 Fax: 602-391-2110
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for EXTREMITY MEDICAL

NPI Number 1851544456
LBN Legal business name EXTREMITY MEDICAL
Authorized official IVAN WALKER - (MANAGING DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/28/2008
Last updated 10/28/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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