| NPI | 1770004855 |
|---|---|
| Doing Business As | PHILLIPS DURABLE MEDICAL EQUIPMENT |
| Entity Type | Organization |
| Authorized Contact | DARRELL GENE ROTHS Director 620-225-4139 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KS 16-104621) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KS 16-105450) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2019-12-26 |