Organization
PRIMUS MEDICAL L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK R SHAW (PRESIDENT)
(330) 965-9681
Entity
Organization
Contact information
Practice address
388 MCCLURG RD STE 1, BOARDMAN, OH 44512-6427
(330) 965-9681
(330) 965-9683
Mailing address
388 MCCLURG RD STE 1, BOARDMAN, OH 44512-6427
(330) 965-9681
(330) 965-9683
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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