Organization
ACCESS DURABLE MEDICAL EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAX BRADY STANDEFER DPH (OWNER)
(423) 877-3568
Entity
Organization
Contact information
Practice address
4062 HIXSON PIKE, CHATTANOOGA, TN 37415-3110
(423) 877-3568
(423) 877-9332
Mailing address
4062 HIXSON PIKE, CHATTANOOGA, TN 37415-3110
(423) 877-3568
(423) 877-9332
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0000000512
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3512814
—
TN
Enumeration date
02/09/2006
Last updated
05/09/2017
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