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Organization
AMERICAN SURGICAL MEDICAL SUPPLY INC
Active
Organization
AMERICAN SURGICAL MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN LAFAYETTE NEWSOME III RTS (VICE PRESIDNET)
(760) 599-8800
Entity
Organization
Contact information
Practice address
24735 REDLANDS BLVD STE A, LOMA LINDA, CA 92354-4033
(866) 611-7205
(909) 366-5988
Mailing address
6965 EL CAMINO REAL # 105-253, CARLSBAD, CA 92009-4100
(760) 599-8800
(760) 599-8844
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
Other
Enumeration date
04/03/2019
Last updated
01/06/2022
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