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Organization
MEDIC-AIRE, INC.
Active
Organization
MEDIC-AIRE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRI R. HISELEY (PRESIDENT)
(918) 686-0031
Entity
Organization
Contact information
Practice address
1908 N 11TH ST, MUSKOGEE, OK 74401-3507
(918) 686-0010
(918) 686-0078
Mailing address
1908 N 11TH ST, MUSKOGEE, OK 74401-3507
(918) 686-0031
(918) 686-0012
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100811990A
—
OK
Enumeration date
04/12/2006
Last updated
04/13/2009
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