Organization
DURAQUIP MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON STORMOEN ESQ. (CLO)
(800) 818-5582
Entity
Organization
Contact information
Practice address
16496 BERNARDO CENTER DR, SAN DIEGO, CA 92128-2524
(800) 818-5582
(888) 886-9598
Mailing address
16496 BERNARDO CENTER DR, SAN DIEGO, CA 92128-2524
(800) 818-5582
(888) 886-9598
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
74874
CA
Other
Enumeration date
10/03/2014
Last updated
12/01/2014
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