Organization
CPM EXSPRESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY WILLIAM HARRIS (OWNER)
(907) 344-6216
Entity
Organization
Contact information
Practice address
1621 BELLEVUE CIR, ANCHORAGE, AK 99515-3115
(907) 344-6216
(907) 349-1372
Mailing address
1621 BELLEVUE CIR, ANCHORAGE, AK 99515-3115
(907) 344-6216
(907) 349-1372
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
954274
AK
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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