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Mr. Tom Richard Macdowell
Customized Equipment (DME) in Morro Bay, California
NPI 1952583197

Tom Richard Macdowell is a Customized Equipment (DME) based in Los Osos, CA and is specialized in Customized Equipment. Tom Richard Macdowell practices in Morro Bay, CA. The NPI Number for Tom Richard Macdowell is 1952583197 and holds a License No. 102773 (California).

The current practice location address for Tom Richard Macdowell is 358 Quintana Rd, Morro Bay, CA and can be reached out via phone at 805-772-8210.

Location: 358 Quintana Rd, Morro Bay, CA, 93402-4324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952583197
Provider Name
Tom Richard Macdowell
Credential
Provider Entity Type
Individual
Gender
Male
Address
358 Quintana Rd, Morro Bay, CA, 93402-4324
Phone Number
805-772-8210
Fax Number
Provider Enumeration Date
11/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DME03097F 05 CA
institution
Provider Business Practice Location Address Details
Address
358 Quintana Rd
City
Morro Bay
State
California
Zip
93442-2054
Phone Number
805-772-8210
Fax Number
person
Provider Business Mailing Address Details
Address
358 Quintana Rd
City
Morro Bay
State
California
Zip
93442-2054
Phone Number
805-772-8210
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
102773 (California)
Definition
Definition to come...
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