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Organization

BREATHING DISORDERS SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELLA TRUITT (CHIEF OPERATING)
(405) 635-0004
Entity
Organization

Contact information

Practice address
1124 N CHURCH ST, SUITE 500, GREENSBORO, NC 27401-6106
(336) 574-3738
(336) 574-3740
Mailing address
PO BOX 269035, OKLAHOMA CITY, OK 73126-9035
(405) 635-0004

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
01258
NC

Other

Enumeration date
09/20/2005
Last updated
04/04/2008
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