Organization · Type 2 NPI

Providential Western Medical

Oxygen Equipment & Supplies (DME) · Phoenix, AZ

NPI number 1043228919 Active

About NPI 1043228919

Providential Western Medical's National Provider Identifier is 1043228919, issued on Aug 4, 2006. The primary taxonomy on file is Oxygen Equipment & Supplies (DME) (332BX2000X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 22, 2020.