Stargate Mobility
NPI #1831134592 in Brockport, Pennsylvania
Provider Information
- NPI Number
- 1831134592
- Entity Type
- Organization
- Organization Name
- Stargate Mobility
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jun 18, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5688 ROUTE 219
- City
- Brockport
- State
- Pennsylvania
- ZIP Code
- 15823-1818
- Phone
- (814) 265-0838
Authorized Official
- Name
- JEFFERIE A DODGE
- Title
- OWNER
- Phone
- (814) 598-2953
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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