| NPI | 1689642191 |
|---|---|
| Doing Business As | SOURCEONE MEDICAL INC |
| Entity Type | Organization |
| Authorized Contact | FRANK BRYAN Adm Office Mgr 888-447-9056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2007-10-31 |