Organization · Type 2 NPI
Source 1
Customized Equipment (DME) · Louisville, CO
NPI number
1578896502
Active
Practice location
80 Health Park Dr Ste 250
Louisville, CO 80027-4645
Fax (303) 665-9774
Mailing address
3012 Mica Ct
Superior, CO 80027-4548
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | 4274647 (CO) |
Customized Equipment (DME): Definition to come...
About NPI 1578896502
Source 1's National Provider Identifier is 1578896502, issued on Sep 9, 2009. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Louisville, CO. The record was last updated on Sep 15, 2009.