Organization
ATV MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN VANVALKENBURG (OWNER)
(509) 438-4663
Entity
Organization
Contact information
Practice address
24603 E SUNSET MEADOWS LOOP, KENNEWICK, WA 99338-7480
(509) 438-4663
(866) 714-6434
Mailing address
24603 E SUNSET MEADOWS LOOP, KENNEWICK, WA 99338-7480
(509) 438-4663
(866) 714-6434
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
602975388
WA
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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