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Organization
ADVANCE MEDICAL SERVICES, INC
Active
Organization
ADVANCE MEDICAL SERVICES, INC
Active
Other names
Petersen Medical
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON RIDLEY (PRESIDENT CEO)
(801) 373-1010
Entity
Organization
Contact information
Practice address
2019 E RIVERSIDE DR STE A100, ST GEORGE, UT 84790-8147
(435) 628-4949
(435) 628-6041
Mailing address
1268 S 1380 W, OREM, UT 84058-4911
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
6109058-1714
UT
Other
Enumeration date
10/06/2006
Last updated
11/25/2019
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