| NPI | 1740273317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL I DEVERS President 918-825-6151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2020-08-22 |