Southern Respiratory Service, LLC

NPI #1780663716 in Mcalester, Oklahoma

Provider Information

NPI Number: 1780663716
Entity Type: Organization
Organization Name: Southern Respiratory Service, LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Jan 10, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 5011 NE CREEK AVE
City: Mcalester
State: Oklahoma
ZIP Code: 74501-7961
Phone: (918) 302-0140

Authorized Official

Name: MR. KELLY MITCHELL
Title: MEMBER
Phone: (972) 479-0844

Specialties & Taxonomy Codes

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

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