Trailhead Medical,LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Phoenix, AZ

NPI 1184965477 · NPPES record last updated Oct 6, 2022

Key facts

NPI
1184965477
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
20916216-T (AZ)
Legal business name
TRAILHEAD MEDICAL,LLC
Practice address
8902 N Central Ave Ste 10
Phoenix, AZ 85020-2883
Phone
(602) 318-7717
Fax
(866) 617-8449
NPI assigned
Mar 12, 2013
Organization subpart
No

Authorized official

Name
Mr. Thomas Bradley Parker
Title
Owner/Manager
Phone
(602) 318-7717

National Provider Directory

Locations

8902 N Central Ave
Ste 10
Phoenix, AZ 85020
Phone (602) 318-7717

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 20916216-T AZ Yes

Addresses

Primary practice location

8902 N Central Ave Ste 10
Phoenix, AZ 85020-2883

Mailing address

7702 N 1St Ave
Phoenix, AZ 85021-7202
Phone (602) 318-7717

Other providers in Phoenix, AZ

All providers in Phoenix, AZ · Durable Medical Equipment & Medical Supplies in Arizona

Sources for this page

Verify at the official NPI Registry.