Provider Demographics
NPI:1265717383
Name:ARROWHEAD MEDICAL RESOURCES INC
Entity type:Organization
Organization Name:ARROWHEAD MEDICAL RESOURCES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:LUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-932-0016
Mailing Address - Street 1:35010 ROLLAND RD
Mailing Address - Street 2:
Mailing Address - City:COHASSET
Mailing Address - State:MN
Mailing Address - Zip Code:55721-2261
Mailing Address - Country:US
Mailing Address - Phone:888-932-0016
Mailing Address - Fax:218-328-0015
Practice Address - Street 1:35010 ROLLAND RD
Practice Address - Street 2:
Practice Address - City:COHASSET
Practice Address - State:MN
Practice Address - Zip Code:55721-2261
Practice Address - Country:US
Practice Address - Phone:888-932-0016
Practice Address - Fax:218-328-0015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies