Organization
MADISON MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM L MADISON RRT (PRESIDNET)
(918) 642-5310
Entity
Organization
Contact information
Practice address
1047 E MAIN ST, SUITE #2, CUSHING, OK 74023-2839
(918) 225-1033
(918) 225-1033
Mailing address
PO BOX 187, FAIRFAX, OK 74637-0187
(918) 642-5310
(918) 642-3690
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
8-D-3007
OK
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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