Organization · NPI-2
Genesis Surgical
Durable Medical Equipment & Medical Supplies · Roseville, CA
NPI number1881849537
StatusActive
Last updated in NPPESNov 21, 2008
Details
- NPI
- 1881849537
- Entity type
- Organization (NPI-2)
- Legal business name
- Genesis Surgical
- Organization subpart
- No
- Enumeration date
- Nov 21, 2008
- Last updated
- Nov 21, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | – | – |
Practice location
324 Rainbow Trout CtRoseville, CA 95747-4628
Phone 916-801-1673 · Fax 916-781-2425
Mailing address
324 Rainbow Trout CtRoseville, CA 95747-4628
Phone 916-801-1673 · Fax 916-781-2425
Authorized official
Erik Truxal
President
9168011673
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