Organization
MOBILITY AUTO SALES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL RICHARD BRADSHAW (PRESIDENT)
(405) 842-0511
Entity
Organization
Contact information
Practice address
730 W HEFNER RD, OKLAHOMA CITY, OK 73114-6835
(405) 842-0511
(405) 840-9170
Mailing address
730 W HEFNER RD, OKLAHOMA CITY, OK 73114-6835
(405) 842-0511
(405) 840-9170
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200005530A
—
OK
Enumeration date
10/25/2006
Last updated
01/21/2014
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