| NPI | 1275987422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES GABRIEL CHODRICK Owner 405-314-6072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |