Provost Shoes
Provost Shoes is a Durable Medical Equipment & Medical Supplies in Bloomsburg, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2009.
- Licensed in
- PA
- In the registry since
- 2009
Practice location Address checks out
225 Columbia Mall DrBloomsburg, PA 17815-8368
Phone: (570) 784-4645
Fax: (570) 455-7704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence 4244780001 (PA) |
|---|
Record details
| NPI number | 1972743268 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Provost — Owner · (570) 784-4645 |
| NPI enumerated | February 25, 2009 |
| Last updated in NPPES | February 25, 2009 |
| Mailing address | 225 Columbia Mall Dr, Bloomsburg, PA 17815-8368 |
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