Organization
MEDICAL MART, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THAYNE KEVIN BARNES (PRESIDENT)
(405) 928-4350
Entity
Organization
Contact information
Practice address
623 N PORTER AVE, SUITE 100, NORMAN, OK 73071-6072
(405) 928-4350
(405) 928-4351
Mailing address
623 N PORTER AVE, SUITE 100, NORMAN, OK 73071-6072
(405) 928-4350
(405) 928-4351
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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