Medisource, INC
NPI #1689912263 in San Clemente, California
Provider Information
- NPI Number
- 1689912263
- Entity Type
- Organization
- Organization Name
- Medisource, INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jan 16, 2013
- Last Updated
- Jan 16, 2013
Practice Location
- Address
- 555 N EL CAMINO REAL
- Address 2
- A376
- City
- San Clemente
- State
- California
- ZIP Code
- 92672-6740
- Phone
- (949) 412-2639
Authorized Official
- Name
- MR. JERRY R STEELE
- Title
- OWNER
- Phone
- (949) 412-2639
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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