High Desert Medical Supply, LLC
NPI #1902937519 in Prineville, Oregon
Provider Information
- NPI Number
- 1902937519
- Entity Type
- Organization
- Organization Name
- High Desert Medical Supply, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 7, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1251 NE ELM ST STE 1B
- City
- Prineville
- State
- Oregon
- ZIP Code
- 97754-3143
- Phone
- (541) 447-4688
Authorized Official
- Name
- MRS. DENISE MARIE SMITH
- Title
- OWNER
- Phone
- (541) 447-4688
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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