| NPI | 1083905772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY EARL SURBAUGH President 317-725-8229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |