Organization
ECHELON MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON ROUSE (OWNER/MANAGER)
(450) 848-5130
Entity
Organization
Contact information
Practice address
7702 E 91ST ST STE 200B, TULSA, OK 74133-6054
(918) 949-6942
(918) 949-3613
Mailing address
401 E CALIFORNIA AVE STE C, OKLAHOMA CITY, OK 73104-4210
(405) 848-5130
(405) 848-5102
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
OK
Other
Enumeration date
12/17/2013
Last updated
07/21/2022
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