Organization
MONTANA MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURICIO TERRAZAS JR. (MEMBER)
(916) 799-6992
Entity
Organization
Contact information
Practice address
1911 22ND AVE S, GREAT FALLS, MT 59405-6425
(916) 799-6992
Mailing address
PO BOX 80041, BILLINGS, MT 59108-0041
(916) 799-6992
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/25/2010
Last updated
12/01/2010
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