Healthcare Provider Details

I. General information

NPI: 1275924664
Provider Name (Legal Business Name): COMFORT MED. SUPPLY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2015
Last Update Date: 02/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9450 E MISSISSIPPI AVE # F
DENVER CO
80247-2427
US

IV. Provider business mailing address

9450 E MISSISSIPPI AVE # F
DENVER CO
80247-2427
US

V. Phone/Fax

Practice location:
  • Phone: 303-750-0804
  • Fax: 303-600-7997
Mailing address:
  • Phone: 303-750-0804
  • Fax: 303-600-7997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MIKHAIL DVORKIN
Title or Position: OWNER
Credential:
Phone: 303-750-0804