Organization
BRAVANTECH INNOVATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANI PETROSYAN (CEO)
(747) 474-6670
Entity
Organization
Contact information
Practice address
2847 S INGRAM MILL RD STE A100, SPRINGFIELD, MO 65804-4006
(214) 705-2301
Mailing address
2847 S INGRAM MILL RD STE A100, SPRINGFIELD, MO 65804-4006
(747) 474-6670
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/22/2024
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