| NPI | 1417983842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL W BRADY President 918-542-7396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2007-11-14 |