MEDICARE: APM MEDICAL SUPPLIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013378405
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APM MEDICAL SUPPLIES

Provider Business Mailing Address
First Line	:	5025 S EASTERN AVE
Second Line	:	SUITE 4
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-2318
Country	:	US
Telephone Number	:	702-259-0374
Fax Number	:	702-259-4729

Provider Business Practice Location Address
First Line	:	5025 S EASTERN AVE
Second Line	:	SUITE 4
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-2318
Country	:	US
Telephone Number	:	702-259-0374
Fax Number	:	702-259-4729

Authorized Official
Title or Position	:	PRESIDENT
Name	:	AMANDA DENTON
Credential	:
Telephone Number	:	702-259-0374

Provider Enumeration Date	:	03/11/2016
Last Update Date	:	03/11/2016

Similar Medicare Providers

1053316810 — APM MEDICAL SUPPLIES
Practice Location Address:

5025 S EASTERN AVE , SUITE 4
LAS VEGAS, NV
89119-2318

Practice Phone: 702-259-0374
Practice Fax: 702-259-4729

1841351665 — VILLAGE EAST DRUGS
Practice Location Address:

5025 S EASTERN AVE
LAS VEGAS, NV
89119-2318

Practice Phone: 702-736-7018
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1609854405 — ALLAN DAVID MACINTYRE DO
Practice Location Address:

3196 S MARYLAND PKWY STE 425
LAS VEGAS, NV
89109-2318

Practice Phone: 725-205-0725
Practice Fax: 725-204-5251

1982682746 — JAY E COATES JR.
Practice Location Address:

3196 S MARYLAND PKWY STE 425
LAS VEGAS, NV
89109-2318

Practice Phone: 725-205-0725
Practice Fax: 725-204-5251

1801078654 — MR. BRIAN WILLIAM STARK JR. PA-C
Practice Location Address:

3196 S MARYLAND PKWY STE 425
LAS VEGAS, NV
89109-2318

Practice Phone: 725-205-0725
Practice Fax:

1548429954 — JEROEN PIETER BALLEDUX MD
Practice Location Address:

3196 S MARYLAND PKWY STE 425
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89109-2318

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Practice Fax: 725-204-5251

Directions to “APM MEDICAL SUPPLIES ” Practice Location

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