| NPI | 1104021344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE M. DYKE Owner 918-683-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OK 441) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2008-06-30 |