Organization
SHERRILL'S RESPIRATORY & DIABETIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALT T SAIN (OWNER)
(580) 286-5745
Entity
Organization
Contact information
Practice address
103 MAIN ST, BROKEN BOW, OK 74728-3973
(580) 286-5745
(580) 286-5742
Mailing address
PO BOX 1247, BROKEN BOW, OK 74728-1247
(580) 286-5745
(580) 286-5742
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3634
OK
Other
Enumeration date
07/30/2006
Last updated
08/22/2020
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