Organization
NORTHERN NEVADA MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG CATTON (MANAGING MEMBER)
(775) 824-9911
Entity
Organization
Contact information
Practice address
1395 GREG ST, SUITE 102, SPARKS, NV 89431-6073
(775) 824-9911
(775) 824-9910
Mailing address
1395 GREG ST, SUITE 102, SPARKS, NV 89431-6073
(775) 824-9911
(775) 824-9910
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
MP00387
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100510205
—
NV
Enumeration date
07/10/2006
Last updated
04/01/2009
Update your record
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