| NPI | 1194852574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL POJEZNY Director Of Administrative And Fina 405-602-3931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR MG00763) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-02-14 |