Organization
ELITE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ARRON SURFACE (OWNER)
(573) 987-0297
Entity
Organization
Contact information
Practice address
1166 GREENWAY DR STE A3, JACKSON, MO 63755-2919
(573) 987-0297
(573) 987-0298
Mailing address
1166 GREENWAY DR STE A3, JACKSON, MO 63755-2919
(573) 987-0297
(573) 987-0298
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MO
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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