Organization
PREMIER MEDICAL RENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD OLIVER (CO-OWNER)
(580) 208-2020
Entity
Organization
Contact information
Practice address
2110 SE WASHINGTON ST STE A, IDABEL, OK 74745-5425
(580) 208-2020
(580) 208-2114
Mailing address
2110 SE WASHINGTON ST STE A, IDABEL, OK 74745-5425
(580) 208-2020
(580) 208-2114
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
OK
Other
Enumeration date
04/28/2017
Last updated
10/23/2018
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