Organization
BAYBURY MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL L LUTH (REGISTERED AGENT)
(501) 833-5627
Entity
Organization
Contact information
Practice address
120 BROOKSWOOD RD, SHERWOOD, AR 72120-4202
(501) 833-5627
(501) 835-6905
Mailing address
120 BROOKSWOOD RD, SHERWOOD, AR 72120-4202
(501) 833-5627
(501) 835-6905
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/23/2007
Last updated
07/17/2012
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