Organization
OZARK MOUNTAIN MEDICAL LLC
Active
Other names
Ozark Mountain Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA D BENNETT (MANAGER/CFO)
(417) 733-4769
Entity
Organization
Contact information
Practice address
30688 COUNTY ROAD 80, CROSS TIMBERS, MO 65634-8491
(816) 605-3816
(417) 351-4135
Mailing address
30688 COUNTY ROAD 80, CROSS TIMBERS, MO 65634-8491
(816) 605-3816
(417) 351-4135
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/07/2016
Last updated
11/26/2019
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