Organization
OASIS MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SETH KELSON (PRESIDENT)
(801) 230-2018
Entity
Organization
Contact information
Practice address
325 FRONT ST, #330, EVANSTON, WY 82930-3633
(877) 254-7838
Mailing address
325 FRONT ST, #330, EVANSTON, WY 82930-3633
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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