| NPI | 1902830110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER NOAH PARKS Managing Employee 918-494-6690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2018-08-21 |