Source 1

NPI #1821321860 in Wheat Ridge, Colorado

Provider Information

NPI Number
1821321860
Entity Type
Organization
Organization Name
Source 1
Subpart
Yes (part of a larger organization)
Parent Organization
SOURCE 1
Primary Specialty
Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date
Sep 9, 2009
Last Updated
Sep 15, 2009

Practice Location

Address
3550 LUTHERN PARKWAY
Address 2
SUITE 210
ZIP Code
80033
Phone
(303) 456-6051

Authorized Official

Name
MR. TRACY JOHN FOX
Title
OWNER
Phone
(303) 324-7674

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies - Customized EquipmentCustomized Equipment

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