Organization
LEGACY MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANEE COLLINS (OWNER)
(918) 367-6960
Entity
Organization
Contact information
Practice address
5555 E 71ST ST, SUITE 7120, TULSA, OK 74136-6542
(918) 367-6960
(918) 367-5278
Mailing address
5555 E 71ST ST, SUITE 7120, TULSA, OK 74136-6542
(918) 367-6960
(918) 367-5278
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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