Organization
H AND M MEDICAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AL BOTHUN (OWNER)
(405) 201-2629
Entity
Organization
Contact information
Practice address
6530 E 21ST ST STE B, TULSA, OK 74129-1274
(405) 201-2629
Mailing address
PO BOX 5124, EDMOND, OK 73083-5124
(405) 201-2629
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200040900A
—
OK
Enumeration date
04/02/2007
Last updated
11/25/2008
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