| NPI | 1902045297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLI MQ WALL Insurance Contracting Specialist 405-600-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |