Organization
MEDICAL SPECIALTY SUPPLY OF OKLAHOMA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY S. BERGLAN (PRESIDENT)
(405) 692-7756
Entity
Organization
Contact information
Practice address
13654 S WESTERN AVE, OKLAHOMA CITY, OK 73170-7004
(405) 692-7756
(405) 692-7785
Mailing address
13654 S WESTERN, OKLAHOMA CITY, OK 73170
(405) 692-7756
(405) 692-7785
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100811060A
—
OK
Enumeration date
07/20/2005
Last updated
07/21/2022
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