Organization
PREMIER PEDIATRIC HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN DUNLAP (CEO)
(918) 740-1384
Entity
Organization
Contact information
Practice address
2304 S CINCINNATI AVE, TULSA, OK 74114-1222
(918) 740-1384
Mailing address
2304 S CINCINNATI AVE, TULSA, OK 74114-1222
(918) 740-1384
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
About Stedi
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