Medsource Dme, INC
NPI #1881612794 in Blytheville, Arkansas
Provider Information
- NPI Number
- 1881612794
- Entity Type
- Organization
- Organization Name
- Medsource Dme, INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jul 18, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 615 W MOULTRIE DR
- City
- Blytheville
- State
- Arkansas
- ZIP Code
- 72315-1936
- Phone
- (870) 780-6111
Authorized Official
- Name
- MR. JAMES ERNEST STEVENSON IV
- Title
- OWNER/PRESIDENT
- Phone
- (870) 780-6111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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