| NPI | 1093008385 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | TREVOR NUTT Principal 405-601-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2012-05-18 |