Organization
BLUE MARBLE MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH A SCHRAAD (PRESIDENT)
(405) 896-8311
Entity
Organization
Contact information
Practice address
13112 SW 47TH ST, MUSTANG, OK 73064-7931
(405) 896-8311
(405) 896-8321
Mailing address
PO BOX 1167, MUSTANG, OK 73064-8167
(405) 896-8311
(405) 896-8321
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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