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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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