Organization · Type 2 NPI
BBR Sole ,inc.
Customized Equipment (DME) · Goodyear, AZ
NPI number
1508056763
Active
Practice location
1981 N Pebble Creek Pkwy, C-5
Goodyear, AZ 85395-2543
Fax (623) 536-6686
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | 20177786 (AZ) |
Customized Equipment (DME): Definition to come...
2 other providers at this address
About NPI 1508056763
BBR Sole ,inc.'s National Provider Identifier is 1508056763, issued on Jul 25, 2007. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Goodyear, AZ. The record was last updated on Jun 8, 2015.