Organization
PHOENIX MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMAN TSYPORYN (PRESIDENT)
(720) 434-2724
Entity
Organization
Contact information
Practice address
7950 E. MISSISSISSIPPI AVE., UNIT-D, DENVER, CO 80247
(720) 434-2724
Mailing address
7950 E. MISSISSISSIPPI AVE., UNIT-D, DENVER, CO 80247
(720) 434-2724
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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