Organization Name: | GARY COLLE INC. |
NPI Number: | 1114247871 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GARY COLLE (OWNER/CEO) |
Mailing Address: | 12300 Stowe Dr Ste A Poway |
State: | CA US |
Postal Code: | 920648820 |
Phone Number: | 8587489414 |
Fax Number: | 8587489432 |
NPI Enumeration Date: | 06/04/2010 |
NPI Last Update Date: | 06/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |