Organization
OPTIMED MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA EZECHUKWU OHAKA (ADMINISTRATOR)
(405) 604-3644
Entity
Organization
Contact information
Practice address
3555 NW 58TH ST, SUITE 630, OKLAHOMA CITY, OK 73112-4707
(405) 604-3644
(405) 609-1947
Mailing address
3555 NW 58TH ST, SUITE 630, OKLAHOMA CITY, OK 73112-4707
(405) 604-3644
(405) 609-1947
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/01/2006
Last updated
03/10/2008
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