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Organization
BOOMER MEDICAL SUPPLY
Active
Organization
BOOMER MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY D SMITH (MEMBER)
(720) 998-9552
Entity
Organization
Contact information
Practice address
17935 E FLORIDA DR, AURORA, CO 80017-5315
(720) 998-9552
(720) 282-3215
Mailing address
5520 E 33RD AVE, DENVER, CO 80207-2028
(720) 998-9552
(720) 282-3215
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
922564188
CO
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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