Wagoner Mobility & Medical

NPI #1740586395 in Pryor, Oklahoma

Provider Information

NPI Number
1740586395
Entity Type
Organization
Organization Name
Wagoner Mobility & Medical
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jan 31, 2011
Last Updated
Jan 31, 2011

Practice Location

Address
30 ELM DR
City
Pryor
ZIP Code
74361-4456
Phone
(918) 260-4687

Authorized Official

Name
MR. BRIAN KEITH STEVENS
Title
MANAGER
Phone
(918) 260-4687

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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