Organization
COMMUNITY MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID L. MARTIN (OWNER)
(918) 776-0033
Entity
Organization
Contact information
Practice address
306 N MAPLE, SALLISAW, OK 74955-4648
(918) 790-3000
(918) 775-8536
Mailing address
PO BOX 9, SALLISAW, OK 74955-0009
(918) 790-3000
(918) 775-8536
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
12/07/2005
Last updated
07/17/2007
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