Organization
I.G. MEDICAL SUPPLY & PLUS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ILYA GERASIMOV (PRESIDENT/OWNER)
(206) 523-6095
Entity
Organization
Contact information
Practice address
5519 UNIVERSITY WAY NE, STE A, SEATTLE, WA 98105-3562
(206) 523-6095
(206) 527-6227
Mailing address
5519 UNIVERSITY WAY NE, STE A, SEATTLE, WA 98105-3562
(206) 523-6095
(206) 527-6227
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
718862
WA
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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