Boomer Medical Supply

NPI #1972937043 in Aurora, Colorado

Provider Information

NPI Number: 1972937043
Entity Type: Organization
Organization Name: Boomer Medical Supply
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Aug 26, 2013
Last Updated: Aug 26, 2013

Practice Location

Address: 17935 E FLORIDA DR
City: Aurora
State: Colorado
ZIP Code: 80017-5315
Phone: (720) 998-9552

Authorized Official

Name: TIFFANY D SMITH
Title: MEMBER
Phone: (720) 998-9552

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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