Amd Medical Supply, INC.
Durable Medical Equipment & Medical Supplies in Sacramento, CA. Organization (NPI-2).
NPI number1902103286
StatusActive
Last updated in NPPESNov 7, 2012
Details
- NPI
- 1902103286
- Entity type
- Organization (NPI-2)
- Legal business name
- Amd Medical Supply, INC.
- Organization subpart
- No
- Enumeration date
- Feb 22, 2011
- Last updated
- Nov 7, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 348977 | CA | Yes |
Practice location
3108 Arden WaySacramento, CA 95825-2002
Phone 916-485-2500 · Fax 916-515-9191
Mailing address
3108 Arden WaySacramento, CA 95825-2002
Phone 916-485-2500 · Fax 916-515-9191
Authorized official
Dmitriy Markiv
President
9164852500
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