Organization
TRIAD MEDICAL INC
Active
Other names
Triad Medical Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY LAUGHLIN (DIRECTOR)
(580) 363-5883
Entity
Organization
Contact information
Practice address
117 N MAIN, BLACKWELL, OK 74631-0854
(580) 363-5883
(580) 363-0409
Mailing address
PO BOX 854, 117 N MAIN, BLACKWELL, OK 74631-0854
(580) 363-5883
(580) 363-0409
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100795520A
—
OK
Enumeration date
07/27/2006
Last updated
07/05/2012
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