Organization
ALS MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID R. WHEELER (OWNER)
(800) 599-0425
Entity
Organization
Contact information
Practice address
11415 S 91ST EAST AVE, BIXBY, OK 74008-1749
(800) 599-0425
(918) 369-0179
Mailing address
10632 S MEMORIAL DR # 146, TULSA, OK 74133-7313
(800) 599-0425
(918) 369-0179
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
838300
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C08403722
SUBMITTER ID #
OK
Enumeration date
03/01/2007
Last updated
08/01/2008
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