Organization
D AND T MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHAN TYLER BRAGG (PRESIDENT)
(318) 542-3694
Entity
Organization
Contact information
Practice address
3658 GOVERNMENT ST STE A, ALEXANDRIA, LA 71302-3324
(318) 445-4250
Mailing address
3658 GOVERNMENT ST STE A, ALEXANDRIA, LA 71302-3324
(318) 445-4250
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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