Organization
DESTINY MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M SMITH (VICE PRESIDENT OPERATIONS)
(866) 564-3494
Entity
Organization
Contact information
Practice address
12200 E ILIFF AVE, SUITE C-202, AURORA, CO 80014-1251
(866) 564-3494
(866) 564-3424
Mailing address
12200 E ILIFF AVE, SUITE C-202, AURORA, CO 80014-1251
(866) 564-3494
(866) 564-3424
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/18/2007
Last updated
07/27/2010
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