B & a Medical Supply

NPI #1699899138 in Frederick, Oklahoma

Provider Information

NPI Number: 1699899138
Entity Type: Organization
Organization Name: B & a Medical Supply
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Mar 19, 2007
Last Updated: Jan 30, 2008

Practice Location

Address: 301 N 13TH ST
City: Frederick
State: Oklahoma
ZIP Code: 73542-4405
Phone: (580) 335-7334

Authorized Official

Name: MR. GREGORY ALLEN WILSON SR.
Title: PRESIDENT
Phone: (580) 335-7334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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