Organization
MILE HIGH MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GARNET DEVON SMITH (OWNWE MEMBER)
(303) 750-0512
Entity
Organization
Contact information
Practice address
1562 S PARKER RD, SUITE 114, DENVER, CO 80231-2718
(303) 750-0512
(303) 750-0512
Mailing address
1562 S PARKER RD, SUITE 114, DENVER, CO 80231-2718
(303) 750-0512
(303) 750-0512
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16424557
—
CO
Enumeration date
10/05/2006
Last updated
07/21/2022
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