Organization
DURAMED DISTRIBUTORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WILLIAM LEWIS (PRESIDENT/OWNER)
(719) 251-8369
Entity
Organization
Contact information
Practice address
317 N MAIN ST STE 2NE, PUEBLO, CO 81003-3236
(719) 251-8369
Mailing address
4301 WALKING STICK BLVD, PUEBLO, CO 81001-4903
(719) 251-8369
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
05/07/2020
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