Organization
MONUMENT MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL GORDON (CEI)
(804) 314-4407
Entity
Organization
Contact information
Practice address
108 N AUBURN AVE, RICHMOND, VA 23221-2802
(804) 314-4407
Mailing address
PO BOX 7182, RICHMOND, VA 23221-0182
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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