Organization
ADVANCE MEDICAL SERVICES, INC
Active
Other names
Petersen Medical
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON RIDLEY (PRESIDENT CEO)
(801) 373-1010
Entity
Organization
Contact information
Practice address
2019 E RIVERSIDE DR STE A100, ST GEORGE, UT 84790-8147
(435) 628-4949
(435) 628-6041
Mailing address
1268 S 1380 W, OREM, UT 84058-4911
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
6109058-1714
UT
Other
Enumeration date
10/06/2006
Last updated
11/25/2019
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