Vantage Dme
NPI #1104828409 in Greenville, Pennsylvania
Provider Information
- NPI Number
- 1104828409
- Entity Type
- Organization
- Organization Name
- Vantage Dme
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
- Enumeration Date
- Jun 1, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3 ORTHOPAEDIC DRIVE
- City
- Greenville
- State
- Pennsylvania
- ZIP Code
- 16125
- Phone
- (724) 589-5540
Authorized Official
- Name
- MR. RANDAL JAMES POULSON, CRTT
- Title
- V.P. REIMBURSEMENT
- Phone
- (813) 333-9449
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies |
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