Organization
ADVANCED DURABLE MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY CARLON CANTRELL (PRESIDENT)
(314) 447-0259
Entity
Organization
Contact information
Practice address
2054 CONCOURSE DR, SAINT LOUIS, MO 63146-4119
(314) 447-0259
(314) 447-0263
Mailing address
2054 CONCOURSE DR, SAINT LOUIS, MO 63146-4119
(314) 447-0259
(314) 447-0263
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/19/2007
Last updated
08/22/2020
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