Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Premier Healthcare DME Supply LLC

Organization Family Medicine Physician · NPI 1447794979

Premier Healthcare DME Supply LLC provides Family Medicine Physician services in Queen Creek, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20851 E Rittenhouse Rd Ste E103
Queen Creek, AZ 85142-4493
Phone: (480) 677-2800
Fax: (888) 503-3238
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 006493 (AZ)

Record details

NPI number1447794979
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandi Dutra — Office Manager · (480) 622-0352
NPI enumeratedDecember 19, 2016
Last updated in NPPESMarch 9, 2017
Mailing address20851 E Rittenhouse Rd Ste E103, Queen Creek, AZ 85142-4493

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