Fossil Medical LLC

NPI #1982095139 in Cabot, Arkansas

Provider Information

NPI Number
1982095139
Entity Type
Organization
Organization Name
Fossil Medical LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Feb 10, 2015
Last Updated
Feb 10, 2015

Practice Location

Address
2800 SOUTH 2ND STREET, SUITE D
City
Cabot
ZIP Code
72023-7025
Phone
(501) 286-6019

Authorized Official

Name
MR. JOHN C BALENKO
Title
PRESIDENT
Phone
(501) 286-6019

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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