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Organization

PREMIERE MEDICAL SUPPLY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL SCOTT DINGER CRT (PRESIDENT)
(501) 847-7800
Entity
Organization

Contact information

Practice address
3614 MARKET PL, SUITE 5, BRYANT, AR 72022-9166
(501) 847-7800
(501) 847-7804
Mailing address
3614 MARKET PL, SUITE 5, BRYANT, AR 72022-9166
(501) 847-7800
(501) 847-7804

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MG00839
AR

Other

Enumeration date
05/10/2007
Last updated
01/31/2008
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