Organization
RESTERS DIABETIC SHOES AND HOME MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STANLEY BRUCE RESTER (OWNER)
(580) 480-1055
Entity
Organization
Contact information
Practice address
103 WEST COMMERCE STREET, ALTUS, OK 73521
(580) 480-1055
(580) 480-1077
Mailing address
103 WEST COMMERCE STREET, ALTUS, OK 73521
(580) 480-1055
(580) 480-1077
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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