Organization
FREEDOM MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD G MAURER (OWNER)
(702) 386-9997
Entity
Organization
Contact information
Practice address
8868 S EASTERN AVE, 115, LAS VEGAS, NV 89123-4823
(702) 386-9997
(702) 228-9996
Mailing address
8868 S EASTERN AVE, 115, LAS VEGAS, NV 89123-4823
(702) 386-9997
(702) 228-9996
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NV20101789254
NV
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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