institution
Source 1
Customized Equipment (DME) in Superior, Colorado
NPI 1609109776

Source 1 is a Customized Equipment (DME) based in Superior, CO and is specialized in Customized Equipment. Source 1 practices in Superior, CO. The NPI Number for Source 1 is 1609109776 and holds a License No. 4274647 (Colorado).

The current practice location address for Source 1 is 3012 Mica Ct, Superior, CO and can be reached out via phone at 303-554-6699 and via fax at 303-554-6700.

Location: 3012 Mica Ct, Superior, CO, 80027-4548
institution
Provider Profile Details
NPI Number
1609109776
Provider Name
Source 1
Credential
Provider Entity Type
Organization
Address
3012 Mica Ct, Superior, CO, 80027-4548
Phone Number
303-554-6699
Fax Number
303-554-6700
Provider Enumeration Date
09/08/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3012 Mica Ct
City
State
Zip
80027-4548
Phone Number
303-554-6699
Fax Number
303-554-6700
person
Provider Business Mailing Address Details
Address
3012 Mica Ct
City
State
Zip
80027-4548
Phone Number
303-554-6699
Fax Number
303-554-6700
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
4274647 (Colorado)
Definition
Definition to come...
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