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NPI Code Detail

MEDICARE: DRS MEDICAL

MEDICARE: DRS MEDICAL
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
1332BC3200XCustomized Equipment (DME)MP00677NV

General Provider Information

NPI Number : 1528387909
Entity Type Code : Organization
Provider Name (Legal Business Name) : DRS MEDICAL
Provider Business Mailing Address
First Line : 6048 S DURANGO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-1781
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6048 S DURANGO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-1781
Country : US
Telephone Number : 702-896-2898
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DAVE R SANFORD
Credential :
Telephone Number : 702-813-3268
Provider Enumeration Date : 05/24/2010
Last Update Date : 05/24/2010

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Directions to “DRS MEDICAL ” Practice Location

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