Organization
VISTA DME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT T KIRKPATRICK (AUTHORIZED OFFICIAL)
(918) 808-7725
Entity
Organization
Contact information
Practice address
300 N 5TH ST, PONCA CITY, OK 74601-4512
(580) 762-1291
Mailing address
300 N 5TH ST, PONCA CITY, OK 74601-4512
(580) 762-1291
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
08/30/2025
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