Organization
SKY RIDGE MEDICAL
Active
Other names
Sky Ridge Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLYDE JOHNSON DC (OWNER)
(720) 515-8002
Entity
Organization
Contact information
Practice address
5950 S WILLOW DR STE 200, GREENWOOD VILLAGE, CO 80111-5144
(720) 515-8002
(303) 741-2676
Mailing address
5950 S WILLOW DR STE 200, GREENWOOD VILLAGE, CO 80111-5144
(720) 515-8002
(303) 741-2676
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
CHR.0006922
CO
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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