Organization Name: | SOUTH ROCKY MEDICAL |
NPI Number: | 1154632511 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID TERRY DORER (PARTNER) |
Mailing Address: | 9221 W Chatfield Pl Littleton |
State: | CO US |
Postal Code: | 801289281 |
Phone Number: | 8662282263 |
Fax Number: | 7203797308 |
NPI Enumeration Date: | 06/30/2010 |
NPI Last Update Date: | 06/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 4283223 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |