NPI | 1821500778 |
---|---|
Other Name | DME - PROGRESS WEST LOCATION |
Entity Type | Organization |
Authorized Contact | CATHY EGHIGIAN Director, Credentialing Operations 314-273-0770 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2017-11-01 |
Last Update Date | 2017-11-01 |