Organization
DIRECT MEDICAL, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL MICHAEL FUTERER (DIRECTOR OPERATIONS)
(310) 293-5197
Entity
Organization
Contact information
Practice address
335 W MAIN ST, BELLEVILLE, IL 62220-1505
(866) 710-7679
Mailing address
335 W MAIN ST, BELLEVILLE, IL 62220-1505
(866) 710-7679
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073776225
—
IL
05
—
1077376225
—
MO
Enumeration date
07/08/2008
Last updated
07/13/2023
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