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Organization
MEDCO, LLC
Active
Organization
MEDCO, LLC
Active
Other names
SEMO Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH C MARTIN (ORGANIZER)
(573) 334-5994
Entity
Organization
Contact information
Practice address
254 S. MOUNT AUBURN RD., CAPE GIRARDEAU, MO 63703-4918
(573) 334-5994
(573) 334-6250
Mailing address
254 S. MOUNT AUBURN RD., CAPE GIRARDEAU, MO 63703-4918
(573) 334-5994
(573) 334-6250
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NULL
Other
Enumeration date
04/01/2010
Last updated
04/11/2011
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