Organization
BAYBURY MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD L LUTH (MEMBER/OWNER)
(501) 833-5627
Entity
Organization
Contact information
Practice address
1051 LANTRIP RD, SHERWOOD, AR 72120-4161
(501) 833-0087
(501) 835-6905
Mailing address
1051 LANTRIP RD, SHERWOOD, AR 72120-4161
(501) 833-0087
(501) 835-6905
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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