| NPI | 1770684508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN DOUGLAS MORAN Business Management 918-775-4439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 0569900001) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |