Organization
WILLOWCREEK OXYGEN AND MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE IBARRA (OWNER)
(970) 871-0999
Entity
Organization
Contact information
Practice address
2620 S COPPER FRONTAGE RD UNIT 4, STEAMBOAT SPRINGS, CO 80487-4977
(970) 871-0999
Mailing address
PO BOX 776276, STEAMBOAT SPRINGS, CO 80487-6276
(970) 871-0999
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20626860
—
CO
Enumeration date
06/16/2006
Last updated
12/04/2013
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