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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RALPH MICHAEL TRYON (EXECUTIVE VICE PRESIDENT)
(702) 364-2225
Entity
Organization

Contact information

Practice address
691 MARKS ST. STE A, HENDERSON, NV 89014
(702) 364-2225
(702) 243-5429
Mailing address
691 MARKS ST STE A, HENDERSON, NV 89014-8611
(702) 364-2225
(702) 243-5429

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Enumeration date
09/11/2007
Last updated
09/11/2007
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