Organization
ACTIVE MEDICAL SUPPLIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LES CHALFIN C.-PED (PRESIDENT)
(515) 256-9006
Entity
Organization
Contact information
Practice address
2413 BUCKINGHAM SQ, #315, URBANDALE, IA 50322-4522
(515) 779-7702
(515) 285-9247
Mailing address
2413 BUCKINGHAM SQ, #315, URBANDALE, IA 50322-4522
(515) 779-7702
(515) 285-9247
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
03/02/2009
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