Active Medical Supplies, INC

NPI #1790833465 in Urbandale, Iowa

Provider Information

NPI Number
1790833465
Entity Type
Organization
Organization Name
Active Medical Supplies, INC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jan 8, 2007
Last Updated
Mar 2, 2009

Practice Location

Address
2413 BUCKINGHAM SQ
Address 2
#315
State
Iowa
ZIP Code
50322-4522
Phone
(515) 779-7702

Authorized Official

Name
MR. LES CHALFIN, C.-PED
Title
PRESIDENT
Phone
(515) 256-9006

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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