Organization
BLUEBIRD MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SIMIN MOTALLEBI (PRISIDENT)
(702) 688-0011
Entity
Organization
Contact information
Practice address
1400 S DECATUR BLVD, LAS VEGAS, NV 89102
(702) 998-1437
Mailing address
1400 S DECATUR BLVD, LAS VEGAS, NV 89102-8511
(702) 998-1437
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MP01317
NV
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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