Organization
ADVANTAGE DURABLE MEDICAL EQUIPMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN TOMAS POLVOS (SECRETARY)
(509) 733-1186
Entity
Organization
Contact information
Practice address
537 MAIN AVE, BREWSTER, WA 98812
(509) 733-1186
Mailing address
PO BOX 520, BREWSTER, WA 98812-0520
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
WA
332BX2000X
Oxygen Equipment & Supplies (DME)
—
WA
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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