Organization
LIVERMORE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STUART E ROTHROCK (OWNER)
(209) 475-0979
Entity
Organization
Contact information
Practice address
1108 E STANLEY BLVD, LIVERMORE, CA 94550-4156
(925) 371-8170
(925) 371-1356
Mailing address
4555 N PERSHING AVE, SUITE #24, STOCKTON, CA 95207-6740
(209) 475-0979
(409) 472-0505
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/04/2006
Last updated
08/22/2020
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