| NPI | 1962537241 |
|---|---|
| Doing Business As | PETIT JEAN MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | BRADLEY REX WHITE President 501-354-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-02-17 |