Organization
D K MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH JO MAXSON (OWNER)
(314) 249-5034
Entity
Organization
Contact information
Practice address
242 FORT ZUMWALT SQ, O FALLON, MO 63366-3064
(314) 249-5034
Mailing address
242 FORT ZUMWALT SQ, O FALLON, MO 63366-3064
(314) 249-5034
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
06/12/2008
Last updated
04/28/2009
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