Healthcare Provider Details

I. General information

NPI: 1962329490
Provider Name (Legal Business Name): DELMA MEDICO SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 S COLORADO AVE
LARAMIE WY
82070-6336
US

IV. Provider business mailing address

209 S COLORADO AVE
LARAMIE WY
82070-6336
US

V. Phone/Fax

Practice location:
  • Phone: 765-289-7688
  • Fax:
Mailing address:
  • Phone: 765-289-7688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: AVANELLE B REED
Title or Position: CEO
Credential: MD
Phone: 765-289-7688