Organization
DURANT MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM C COX JR. (OWNER/PRESIDENT)
(580) 924-0290
Entity
Organization
Contact information
Practice address
1028 CRISWELL DR STE 102, DURANT, OK 74701
(580) 924-0290
(580) 924-0913
Mailing address
1028 CRISWELL DR STE 102, DURANT, OK 74701-1059
(580) 924-0290
(580) 924-0913
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100807580 A
—
OK
05
—
100807580A
—
OK
Enumeration date
09/27/2006
Last updated
09/11/2018
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