| NPI | 1609188655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS PEARSON Owner 918-825-6144 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 1021) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2010-07-07 |