Organization
DRS MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE R SANFORD (OWNER)
(702) 813-3268
Entity
Organization
Contact information
Practice address
6048 S DURANGO DR, LAS VEGAS, NV 89113-1781
(702) 896-2898
Mailing address
6048 S DURANGO DR, LAS VEGAS, NV 89113-1781
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
MP00677
NV
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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