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Organization
P & M QUALITY MEDICAL LLC
Active
Organization
P & M QUALITY MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA WAGNER (OWNER)
(870) 723-3148
Entity
Organization
Contact information
Practice address
102 N MAIN ST, MONTICELLO, AR 71655-4726
(870) 367-7456
(870) 367-7494
Mailing address
102 N MAIN ST, MONTICELLO, AR 71655-4726
(870) 367-7456
(870) 367-7494
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175774716
—
AR
05
—
177464733
—
AR
Enumeration date
08/05/2007
Last updated
07/23/2009
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