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Organization

OKLAHOMA LIMB & BRACE CO.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD LOUIS HERONEME SR. CP (OWNER)
(918) 426-4424
Entity
Organization

Contact information

Practice address
1023 S 2ND ST, MCALESTER, OK 74501-6401
(918) 426-4424
(918) 426-4460
Mailing address
125 S MAIN ST # 346, MCALESTER, OK 74501-5363
(918) 426-4424
(918) 426-4460

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100812800A
OK
Enumeration date
03/23/2007
Last updated
10/20/2009
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