Provider Demographics
NPI:1871768572
Name:APPLE MEDICAL
Entity type:Organization
Organization Name:APPLE MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:COREY
Authorized Official - Middle Name:
Authorized Official - Last Name:DAYLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-703-2922
Mailing Address - Street 1:4125 N 64TH ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-3105
Mailing Address - Country:US
Mailing Address - Phone:602-703-2922
Mailing Address - Fax:
Practice Address - Street 1:4419 N SCOTTSDALE RD
Practice Address - Street 2:#208
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-3334
Practice Address - Country:US
Practice Address - Phone:602-703-2922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies