Organization
EXPRESS MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENNADIY KATSMAN (PRESIDENT)
(720) 436-5801
Entity
Organization
Contact information
Practice address
5826 S ENSENADA ST, AURORA, CO 80015-5109
(720) 436-5801
(866) 472-7951
Mailing address
5826 S ENSENADA ST, AURORA, CO 80015-5109
(720) 436-5801
(866) 472-7951
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
41784510000
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37130358
—
CO
Enumeration date
10/14/2006
Last updated
08/22/2020
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