Organization
BOOMER MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY D CALISE (MEMBER)
(281) 913-9425
Entity
Organization
Contact information
Practice address
17935 EAST FLORIDA DRIVE, AURORA, CO 80017
(281) 913-9425
(720) 282-3215
Mailing address
17935 E FLORIDA DR, AURORA, CO 80017-5315
(281) 913-9425
(720) 282-3215
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CO
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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