Organization
FRONTIER MEDICAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON WULFF (PRESIDENT)
(541) 589-0563
Entity
Organization
Contact information
Practice address
191 S BROADWAY AVE, BURNS, OR 97720-2204
(541) 589-3017
Mailing address
PO BOX 631, BURNS, OR 97720-0631
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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