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Organization

MED SYSTEMS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID DONN ZORTMAN (OWNER/DIRECTOR)
(505) 287-2450
Entity
Organization

Contact information

Practice address
825 E ROOSEVELT AVE, GRANTS, NM 87020-2115
(505) 287-2450
(505) 287-2497
Mailing address
825 E ROOSEVELT AVE, GRANTS, NM 87020-2115
(505) 287-2450
(505) 287-2497

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01138484000
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00NM00T21P
BC/BS OF NM
NM
05
K4985
NM
Enumeration date
08/08/2006
Last updated
10/06/2008
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