Bradley G. Maurer
Durable Medical Equipment & Medical Supplies in Henderson, NV. Organization (NPI-2).
NPI number1720042369
StatusActive
Last updated in NPPESJun 18, 2010
Details
- NPI
- 1720042369
- Entity type
- Organization (NPI-2)
- Legal business name
- Bradley G. Maurer
- Organization subpart
- No
- Enumeration date
- Apr 12, 2006
- Last updated
- Jun 18, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 635527296 | NV | Yes |
Other names
- Freedom Medical Supply & Equipment (Doing Business As)
Practice location
2470 E. Pebble Rd#115
Henderson, NV 89074-7092
Phone 702-386-9997 · Fax 702-228-9996
Mailing address
2470 E. Pebble Rd#115
Henderson, NV 89074-7092
Phone 702-386-9997 · Fax 702-228-9996
Authorized official
Bradley Gene Maurer
Owner
7023869997
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