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Organization
PACIFIC RESPIRATORY CARE INC.
Active
Organization
PACIFIC RESPIRATORY CARE INC.
Active
Other names
Colorado Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS A EUDALEY (OWNER/PRESIDENT)
(303) 596-1375
Entity
Organization
Contact information
Practice address
1415 W CEDAR AVE, DENVER, CO 80223-1731
(303) 237-0941
(303) 302-2214
Mailing address
1415 W CEDAR AVE, DENVER, CO 80223-1731
(303) 237-0941
(303) 302-2214
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PSY0002910
CO
101YM0800X
Mental Health Counselor
PSY0002910
CO
101YP2500X
Professional Counselor
PSY0002910
CO
103T00000X
Psychologist
PSY0002010
CO
103T00000X
Psychologist
PSY0002910
CO
103TA0700X
Adult Development & Aging Psychologist
PSY0002910
CO
103TC1900X
Counseling Psychologist
PSY0002910
CO
103TC2200X
Clinical Child & Adolescent Psychologist
PSY0002910
CO
103TF0000X
Family Psychologist
PSY0002910
CO
103TH0004X
Health Psychologist
PSY0002910
CO
106H00000X
Marriage & Family Therapist
PSY0002910
CO
332BX2000X
Oxygen Equipment & Supplies (DME)
—
CO
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NULL
Other
Enumeration date
02/20/2007
Last updated
01/06/2015
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