Organization
BREATHING DISORDERS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLA TRUITT (CHIEF OPERATING OFFICER)
(405) 635-0004
Entity
Organization
Contact information
Practice address
4255 N STOCKTON HILL RD, SUITE 6, KINGMAN, AZ 86409-2482
(928) 692-9525
(928) 692-9502
Mailing address
PO BOX 269035, OKLAHOMA CITY, OK 73126-9035
(405) 635-0004
(405) 635-0009
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
08036925N
AZ
Other
Enumeration date
09/20/2005
Last updated
04/04/2008
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