NPI | 1376683169 |
---|---|
Entity Type | Organization |
Authorized Contact | BOBBY R WOODARD PIC 918-425-1385 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 22775) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2011-12-20 |