Organization
DILLON MEDICAL SUPPLY INC
Active
Other names
CLAYTON R EDWARDS
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN EDWARDS (ACCOUNTANT)
(406) 683-6848
Entity
Organization
Contact information
Practice address
19 E SEBREE ST, DILLON, MT 59725-2551
(406) 683-6848
(406) 683-0069
Mailing address
19 E SEBREE ST, DILLON, MT 59725-2551
(406) 683-6848
(406) 683-0069
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
NO NUMBER
MT
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
NO NUMBER
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0563082
—
MT
Enumeration date
05/16/2006
Last updated
04/06/2015
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