Organization
D AND T MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHAN TYLER BRAGG (PRESIDENT)
(318) 542-3694
Entity
Organization
Contact information
Practice address
3658 GOVERNMENT ST STE A, ALEXANDRIA, LA 71302-3324
(318) 445-4250
(318) 487-9194
Mailing address
3658 GOVERNMENT ST STE A, ALEXANDRIA, LA 71302-3324
(318) 445-4250
(318) 487-9194
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/29/2009
Last updated
05/11/2010
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