Organization
ESB MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL RATAY (PRESIDENT)
(314) 646-0980
Entity
Organization
Contact information
Practice address
6651 CHIPPEWA ST, SUITE 219, SAINT LOUIS, MO 63109-2538
(314) 646-0980
(314) 646-0613
Mailing address
6651 CHIPPEWA ST, SUITE 219, SAINT LOUIS, MO 63109-2538
(314) 646-0980
(314) 646-0613
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
2003022170
MO
Other
Enumeration date
07/14/2005
Last updated
08/22/2020
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