Organization · NPI-2

Bravantech Innovations LLC

Durable Medical Equipment & Medical Supplies · Springfield, MO

NPI number1043034374
StatusActive
Last updated in NPPESNov 22, 2024

Details

NPI
1043034374
Entity type
Organization (NPI-2)
Legal business name
Bravantech Innovations LLC
Organization subpart
No
Enumeration date
Nov 13, 2024
Certification date
Nov 22, 2024
Last updated
Nov 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

2847 S Ingram Mill Rd Ste A100
Springfield, MO 65804-4006

Phone 214-705-2301

Mailing address

2847 S Ingram Mill Rd Ste A100
Springfield, MO 65804-4006

Phone 747-474-6670

Authorized official

Ani Petrosyan
Ceo
7474746670

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