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NPI Code Detail

MEDICARE: PRO COMFORT MEDICAL

MEDICARE: PRO COMFORT 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)
2335E00000XProsthetic/Orthotic Supplier
3332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1184991325
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRO COMFORT MEDICAL
Provider Business Mailing Address
First Line : 101 S RAINBOW BLVD
Second Line : STE 15
City : LAS VEGAS
State : NV
Zip : 89145-5362
Country : US
Telephone Number : 702-629-6818
Fax Number : 702-993-8426
Provider Business Practice Location Address
First Line : 101 S RAINBOW BLVD
Second Line : STE 15
City : LAS VEGAS
State : NV
Zip : 89145-5362
Country : US
Telephone Number : 702-629-6818
Fax Number : 702-993-8426
Authorized Official
Title or Position : PRESIDENT
Name : NATHAN HIGHAM
Credential : CPED
Telephone Number : 702-629-6818
Provider Enumeration Date : 11/16/2011
Last Update Date : 11/16/2011

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Directions to “PRO COMFORT MEDICAL ” Practice Location

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