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NPI Code Detail

MEDICARE: ASPEN MEDICAL SUPPLY LLC

MEDICARE: ASPEN MEDICAL SUPPLY LLC
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1861204836
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASPEN MEDICAL SUPPLY LLC
Provider Business Mailing Address
First Line : 6795 E TENNESSEE AVE STE 607
Second Line :
City : DENVER
State : CO
Zip : 80224-1613
Country : US
Telephone Number : 720-473-7814
Fax Number : 720-343-4218
Provider Business Practice Location Address
First Line : 6795 E TENNESSEE AVE STE 607
Second Line :
City : DENVER
State : CO
Zip : 80224-1613
Country : US
Telephone Number : 720-473-7814
Fax Number : 720-343-4218
Authorized Official
Title or Position : OWNER
Name : CHRISTIANA PANTELIDES
Credential :
Telephone Number : 720-473-7814
Provider Enumeration Date : 01/24/2025
Last Update Date : 01/24/2025

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Directions to “ASPEN MEDICAL SUPPLY LLC ” Practice Location

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