| NPI | 1487801080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLI M WALL Credentialing Coordinator 405-285-4914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |