Organization
DUKE MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA L CAVANAGH (PRESIDENT)
(888) 678-6692
Entity
Organization
Contact information
Practice address
300 BILTMORE DR, SUITE 350, FENTON, MO 63026-8113
(888) 678-6692
(888) 550-7663
Mailing address
300 BILTMORE DR, SUITE 350, FENTON, MO 63026-8113
(888) 678-6692
(888) 550-7663
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
18327893
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154579716
—
AR
05
—
1648107
—
TX
01
—
191703
BCBSMO
MO
05
—
200031550A
—
OK
05
—
200262950-A
—
KS
05
—
552481-01
—
HI
05
—
5607082
—
MT
05
—
626137806
—
MO
05
—
7574878
—
MS
05
—
806915500
—
ID
05
—
867765
—
AZ
05
—
90008293
—
KY
Enumeration date
05/19/2006
Last updated
05/19/2011
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