| NPI | 1144574906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DOUGLAS WILKINS Owner 918-231-4664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |