Organization
MD MEDICAL ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID JOSEPH PETTIT RPSGT (OWNER)
(541) 683-3325
Entity
Organization
Contact information
Practice address
1845 HWY. 126, A-4, FLORENCE, OR 97439
(541) 683-3325
(541) 343-4117
Mailing address
1845 HWY. 126, A-4, FLORENCE, OR 97439
(541) 683-3325
(541) 343-4117
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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