IndividualActive
Martin David, LICENSED DME PROVIDE
NPI 1073991147 · Home Modifications Contractor · Scottsdale, AZ
Provider details
- NPI number
- 1073991147
- Entity type
- Individual
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Credential
- LICENSED DME PROVIDE
- Sex
- Male
- Sole proprietor
- Yes
- License
- CR12 (AZ)
Specialties & taxonomies
Other Service Providers
Practice location
15029 N Thompson Peak Pkwy
B111-580
Scottsdale, AZ 85260-2217
Phone: (602) 653-1378
Fax: (602) 532-7628
Approximate (ZIP-level) locationGet directions
Mailing address
15029 N Thompson Peak Pkwy
Scottsdale, AZ 85260-2217
Registry dates
- Enumerated
- 2015-05-11
- Last updated
- 2015-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.