Organization
ADVANCE MEDICAL SERVICES, INC
Active
Other names
Petersen Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON RIDLEY (PRESIDENT/CEO)
(801) 373-1010
Entity
Organization
Contact information
Practice address
1268 S 1380 W, OREM, UT 84058-4911
(801) 374-8101
(801) 374-8121
Mailing address
1268 S 1380 W, OREM, UT 84058-4911
(801) 373-1010
(801) 373-2217
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
6088482-1714
UT
Other
Enumeration date
10/06/2006
Last updated
11/25/2019
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