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Organization
MED CITY MOBILITY, LLC
Active
Organization
MED CITY MOBILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOB ELWOOD (OWNER)
(507) 252-0555
Entity
Organization
Contact information
Practice address
1200 EASTGATE DR SE, ROCHESTER, MN 55904-5700
(507) 252-0555
(507) 535-7591
Mailing address
1200 EASTGATE DR SE, ROCHESTER, MN 55904-5700
(507) 252-0555
(507) 535-7591
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363243100
—
MN
Enumeration date
01/03/2007
Last updated
10/20/2011
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