Organization
MURRAY DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKI J JACKSON (OWNER)
(580) 622-5300
Entity
Organization
Contact information
Practice address
1714 W BROADWAY AVE, SULPHUR, OK 73086-4244
(580) 622-5300
Mailing address
1714 W BROADWAY AVE, SULPHUR, OK 73086-4244
(580) 622-5300
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200026940A
—
OK
Enumeration date
07/01/2006
Last updated
06/30/2008
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