Organization
IELDRA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GRAY (CEO)
(720) 233-0168
Entity
Organization
Contact information
Practice address
1187 MAPLE DR, BROOMFIELD, CO 80020-1052
(720) 233-0168
Mailing address
PO BOX 271125, LOUISVILLE, CO 80027-5020
(720) 233-0169
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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