Black Beaver Medical Supply LLC

NPI #1013602135 in Anadarko, Oklahoma

Provider Information

NPI Number
1013602135
Entity Type
Organization
Organization Name
Black Beaver Medical Supply LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Apr 5, 2023
Last Updated
Apr 30, 2023

Practice Location

Address
123 E BROADWAY ST
ZIP Code
73005-2823
Phone
(405) 923-1993

Authorized Official

Name
JUSTIN PATRICK AYRES
Title
BILLING MANAGER
Phone
(405) 923-1993

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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