Organization
BOSS MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY C BOSS ADMINISTRATOR (ADMINSTRATOR)
(918) 762-2626
Entity
Organization
Contact information
Practice address
524 ILLINOIS ST, PAWNEE, OK 74058-2036
(918) 762-2626
Mailing address
524 ILLINOIS ST, PAWNEE, OK 74058-2036
(918) 762-2626
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
1532
OK
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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