Echelon Medical LLC

NPI #1598799504 in Idabel, Oklahoma

Provider Information

NPI Number: 1598799504
Entity Type: Organization
Organization Name: Echelon Medical LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Jul 10, 2006
Last Updated: Apr 23, 2008

Practice Location

Address: 1430 LINCOLN RD
City: Idabel
State: Oklahoma
ZIP Code: 74745
Phone: (580) 286-9700

Authorized Official

Name: MR. MICHAEL LEE KISTHARDT
Title: MANAGER
Phone: (405) 848-5130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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