Organization
BETHESDA LAKE MEDICAL SUPPIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH CHRISTIAN BUBAN (PRESIDENT)
(702) 882-0729
Entity
Organization
Contact information
Practice address
4610 ARVILLE ST, STE A, LAS VEGAS, NV 89103-5357
(702) 882-0729
(702) 870-7878
Mailing address
4610 ARVILLE ST, STE A, LAS VEGAS, NV 89103-5357
(702) 882-0729
(702) 870-7878
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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