NPI | 1932148715 |
---|---|
Other Name | BROAD RIPPLE MEDICAL SUPPLY |
Entity Type | Organization |
Authorized Contact | GREGORY MIDDLETON Owner 317-251-3460 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-06-06 |
Last Update Date | 2020-08-22 |