Organization
SMITH SURGICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA L WEBB (PRESIDENT)
(309) 685-7511
Entity
Organization
Contact information
Practice address
2504 N KNOXVILLE AVE, PEORIA, IL 61604-3622
(309) 685-7511
(309) 685-1994
Mailing address
2504 N KNOXVILLE AVE, PEORIA, IL 61604-3622
(309) 685-7511
(309) 685-1994
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/09/2005
Last updated
08/22/2020
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