| NPI | 1235377607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLI M WALL Insurance Contracting Specialist 405-285-4914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |