Midwest Medical Supply Co LLC
NPI #1528274875 in Earth City, Missouri
Provider Information
- NPI Number
- 1528274875
- Entity Type
- Organization
- Organization Name
- Midwest Medical Supply Co LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- May 15, 2007
- Last Updated
- Sep 29, 2011
Practice Location
- Address
- 13400 LAKEFRONT DR
- Address 2
- AOS
- City
- Earth City
- State
- Missouri
- ZIP Code
- 63045-1516
- Phone
- (800) 858-5858
Authorized Official
- Name
- MR. GARY P REEVE
- Title
- PRESIDENT CEO
- Phone
- (314) 291-2900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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