Organization
ADVANCED MEDICAL ENTERPRISES LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLI M WALL (CREDENTIALING COORDINATOR)
(405) 285-4914
Entity
Organization
Contact information
Practice address
4735 E 91ST ST, SUITE 100, TULSA, OK 74137-2807
(918) 551-6081
Mailing address
PO BOX 5765, EDMOND, OK 73083-5765
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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