BRUCE D DRAGOO MD PC NPI 1952434292

NPI Information

BRUCE D DRAGOO MD PC is a durable medical equipment medical supplies in Grand Rapids, MI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. BRUCE D DRAGOO MD PC NPI is 1952434292. The provider is registered as an organization entity type.

The provider's business location address is:

1000 E PARIS AVE SE
SUITE 225
GRAND RAPIDS, MI
ZIP 49546-691
Phone: (616) 957-3643
Fax: (616) 957-0896

The provider's authorized official is Freda Lyn Larkin .
The authorized official title is Billing and has the following contact phone number (616) 957-3643.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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