Organization
BRADLEY G. MAURER
Active
Other names
Freedom Medical Supply & Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY GENE MAURER (OWNER)
(702) 386-9997
Entity
Organization
Contact information
Practice address
2470 E. PEBBLE RD, #115, HENDERSON, NV 89074-7092
(702) 386-9997
(702) 228-9996
Mailing address
2470 E. PEBBLE RD, #115, HENDERSON, NV 89074-7092
(702) 386-9997
(702) 228-9996
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
635527296
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100504117
—
NV
Enumeration date
04/12/2006
Last updated
06/18/2010
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