Organization
ELECTRIC HEALTH MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRANT AUSTIN MCDONOUGH (PROPRIETOR)
(319) 830-5688
Entity
Organization
Contact information
Practice address
3309 BLAKE ST STE 109, DENVER, CO 80205-2459
(319) 830-5688
Mailing address
PO BOX 18442, DENVER, CO 80218-0442
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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