Organization
EXTREME MOBILITY MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL VANHART (PRESIDENT)
(719) 265-5225
Entity
Organization
Contact information
Practice address
7858 N ACADEMY BLVD, COLORADO SPRINGS, CO 80920-3920
(719) 265-5225
(719) 265-6065
Mailing address
7858 N ACADEMY BLVD, COLORADO SPRINGS, CO 80920-3920
(719) 265-5225
(719) 265-6065
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20061344781
CO
Other
Enumeration date
11/07/2006
Last updated
07/24/2008
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