Organization
NW MAGNUM LLC
Active
Other names
Elite Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
RUSLAN R KNYAZ (CEO)
(425) 576-0021
Entity
Organization
Contact information
Practice address
108 CENTRAL WAY, KIRKLAND, WA 98033-6106
(425) 576-0021
Mailing address
108 CENTRAL WAY, KIRKLAND, WA 98033-6106
(425) 576-0021
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PANDING
—
335E00000X
Prosthetic/Orthotic Supplier
PANDING
—
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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