Single Source Medical, LLC
NPI #1336473164 in Rancho Cordova, California
Provider Information
- NPI Number
- 1336473164
- Entity Type
- Organization
- Organization Name
- Single Source Medical, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Sep 26, 2009
- Last Updated
- Sep 26, 2009
Practice Location
- Address
- 2868 PROSPECT PARK DR
- Address 2
- SUITE 600
- City
- Rancho Cordova
- State
- California
- ZIP Code
- 95670-6020
- Phone
- (916) 631-1236
Authorized Official
- Name
- MR. GREGORY R PETERSEN
- Title
- MANAGING MEMBER
- Phone
- (916) 631-1236
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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