Organization
ADVANCED BRACING AND MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMM WILSON (PRESIDENT)
(308) 865-6060
Entity
Organization
Contact information
Practice address
3000 2ND AVE, SUITE 101, KEARNEY, NE 68847
(308) 865-6060
Mailing address
2810 W 35TH ST STE 3, KEARNEY, NE 68845-2909
(308) 865-6060
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025191300
—
NE
Enumeration date
01/21/2006
Last updated
06/15/2018
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