Organization
VICTORY MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL JETER (OPERATIONS)
(580) 931-3707
Entity
Organization
Contact information
Practice address
104 THOMA DRIVE, SUITE 3, ELGIN, OK 73538
(580) 492-4079
(580) 492-4089
Mailing address
104 THOMA DRIVE, SUITE 3, ELGIN, OK 73538
(580) 492-4079
(580) 492-4089
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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