Organization
OR- MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI G MEDZHIDOV (PRESIDENT)
(541) 245-9940
Entity
Organization
Contact information
Practice address
628 N RIVERSIDE AVE, STE. E, MEDFORD, OR 97501-4654
(541) 245-9940
(541) 245-9941
Mailing address
628 N RIVERSIDE AVE, STE. E, MEDFORD, OR 97501-4654
(541) 245-9940
(541) 245-9941
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6030540001
OR
Other
Enumeration date
09/28/2007
Last updated
07/17/2008
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