Organization
SERVIAM MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J. HAWKS III (DME PROVIDER)
(217) 306-0922
Entity
Organization
Contact information
Practice address
1936 N 6TH ST, SPRINGFIELD, IL 62702-2650
(217) 306-0922
Mailing address
1936 N 6TH ST, SPRINGFIELD, IL 62702-2650
(217) 306-0922
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/07/2009
Last updated
02/07/2009
Update your record
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