Organization · Type 2 NPI
Source 1
Customized Equipment (DME) · Superior, CO
NPI number
1609109776
Active
Practice location
3012 Mica Ct
Superior, CO 80027-4548
Fax (303) 554-6700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | 4274647 (CO) |
Customized Equipment (DME): Definition to come...
About NPI 1609109776
Source 1's National Provider Identifier is 1609109776, issued on Sep 8, 2009. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Superior, CO. The record was last updated on Sep 14, 2009.