Organization · Type 2 NPI
Goodwin Street Medical Supply LLC
Customized Equipment (DME) · Prescott, AZ
NPI number
1205802899
Active
Practice location
1202 Willow Creek Rd
Prescott, AZ 86301-1428
Fax (928) 541-1823
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | 20002621 (AZ) |
Customized Equipment (DME): Definition to come...
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- Jean M. Bowman, P.T.Orthopedic Physical Therapist Prescott, AZ NPI 1104241132
- Michael Nash, DCChiropractor Prescott, AZ NPI 1184609786
- Wayne A. Bennett, DC, D.A.B.C.O.Orthopedic Chiropractor Prescott, AZ NPI 1952386542
Other customized equipment (dme) providers in Prescott
About NPI 1205802899
Goodwin Street Medical Supply LLC's National Provider Identifier is 1205802899, issued on Feb 24, 2006. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Prescott, AZ. The record was last updated on Jul 11, 2026.