Organization
ALFA MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TATYANA GUREVICH (OWNER)
(303) 680-5056
Entity
Organization
Contact information
Practice address
5956 S HELENA CT, CENTENNIAL, CO 80016-1041
(303) 680-5056
Mailing address
5956 S HELENA CT, CENTENNIAL, CO 80016-1041
(303) 680-5056
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92153526
—
CO
Enumeration date
09/12/2007
Last updated
09/12/2007
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