Organization
DUBOIS MEDICAL SUPPLY COMPANY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL K REZK (PRESIDENT)
(814) 375-1100
Entity
Organization
Contact information
Practice address
320 LIBERTY BLVD, DU BOIS, PA 15801-2406
(814) 375-1100
(814) 375-9796
Mailing address
PO BOX 263, DU BOIS, PA 15801-0263
(814) 375-1100
(814) 375-9796
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007374400019
—
PA
Enumeration date
05/11/2006
Last updated
09/24/2018
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