| NPI | 1740586395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KEITH STEVENS Manager 918-260-4687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2011-01-31 |