Organization
WISDOM MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE O ONWA (CEO)
(720) 748-1014
Entity
Organization
Contact information
Practice address
2620 S PARKER RD, SUITE #160, AURORA, CO 80014-1608
(720) 748-1014
(720) 748-1014
Mailing address
PO BOX 202913, DENVER, CO 80220-8913
(720) 748-1014
(720) 748-1014
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
7247331
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66622247
—
CO
Enumeration date
10/17/2006
Last updated
03/03/2009
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