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Organization
GX2 LLC
Active
Organization
GX2 LLC
Active
Other names
MED-Direct
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TROY DEAN CULBERTSON (OWNERADMINISTRATOR)
(573) 288-0060
Entity
Organization
Contact information
Practice address
102 E MAIN, LEWISTOWN, MO 63452
(573) 215-2333
(573) 215-2334
Mailing address
PO BOX 147, LEWISTOWN, MO 63452-0147
(573) 215-2333
(573) 215-2334
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NULL
Other
Enumeration date
10/12/2006
Last updated
01/16/2008
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