Organization
ADVANTAGE MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE MEACHAM (PRESIDENT)
(435) 734-0488
Entity
Organization
Contact information
Practice address
590 GREENWOOD DR, BRIGHAM CITY, UT 84302-4736
(435) 734-0488
(435) 734-0489
Mailing address
590 GREENWOOD DR, BRIGHAM CITY, UT 84302-4736
(435) 734-0488
(435) 734-0489
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
5132186-1714
UT
Other
Enumeration date
09/22/2005
Last updated
02/04/2016
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