Organization
CERTIFIED MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW GIBBS (PRESIDENT)
(702) 793-9763
Entity
Organization
Contact information
Practice address
603 E 8TH ST STE A, PORT ANGELES, WA 98362-6251
(360) 406-5063
(360) 477-4283
Mailing address
3651 LINDELL RD, SUITE D651, LAS VEGAS, NV 89103-1254
(702) 851-5610
(702) 943-0233
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
604-000-651
WA
Other
Enumeration date
06/21/2016
Last updated
08/17/2018
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