Advanced Medical Supply
Durable Medical Equipment & Medical Supplies in Fresno, CA. Organization (NPI-2).
NPI number1164854527
StatusActive
Last updated in NPPESAug 7, 2013
Details
- NPI
- 1164854527
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Medical Supply
- Organization subpart
- Yes
- Enumeration date
- Aug 7, 2013
- Last updated
- Aug 7, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | A113019 | CA | Yes |
Practice location
1350 O St Ste 301Fresno, CA 93721-1828
Phone 559-289-1016 · Fax 559-289-1016
Mailing address
1350 O St Ste 301Fresno, CA 93721-1828
Phone 559-289-1016 · Fax 559-289-1016
Authorized official
Ronnie Lewis
Owner/Ceo
5592891016
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