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Organization
MOUNTAIN AIRE MEDICAL SUPPLY INC
Active
Organization
MOUNTAIN AIRE MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA L BICKLEY (PRESIDENT)
(970) 244-8983
Entity
Organization
Contact information
Practice address
2490 PATTERSON RD, SUITE 5, GRAND JUNCTION, CO 81505-1112
(970) 244-8983
(970) 244-8986
Mailing address
2490 PATTERSON RD, SUITE 5, GRAND JUNCTION, CO 81505-1112
(970) 244-8983
(970) 244-8986
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NULL
Other
Enumeration date
08/28/2006
Last updated
10/28/2015
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