Organization
BODYSPECIFIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY ROBERT HARRIS (PRESIDENT)
(248) 435-8829
Entity
Organization
Contact information
Practice address
1800 W 14 MILE RD, SUITE G., ROYAL OAK, MI 48073-1714
(248) 435-8829
Mailing address
1800 W 14 MILE RD, SUITE G., ROYAL OAK, MI 48073-1714
(248) 435-8829
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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