Organization
INDEPENDENCE MEDICAL EQUIPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES GABRIEL CHODRICK (OWNER)
(405) 314-6072
Entity
Organization
Contact information
Practice address
10812 N COUNCIL RD, APARTMENT 8, OKLAHOMA CITY, OK 73162-4384
(405) 314-6072
Mailing address
10812 N COUNCIL RD, APARTMENT 8, OKLAHOMA CITY, OK 73162-4384
(405) 314-6072
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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