Organization
ADVANCE MEDICAL SERVICES, INC.
Active
Other names
Petersen Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON RIDLEY (PRESIDENT/CEO)
(801) 373-1010
Entity
Organization
Contact information
Practice address
164 N GRAYSON PKWY, BLANDING, UT 84511-2403
(435) 678-2250
(435) 678-2247
Mailing address
1268 S 1380 W, OREM, UT 84058-4911
(801) 373-1010
(801) 373-2217
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
UT
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
04/14/2008
Last updated
04/30/2024
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