Organization
LARRY DILLARD MEDICAL CONSULTING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY EICHLER (PRESIDENT)
(918) 299-6922
Entity
Organization
Contact information
Practice address
708 W MAIN ST, JENKS, OK 74037-3519
(918) 299-6922
(918) 299-6923
Mailing address
708 W MAIN ST, JENKS, OK 74037-3519
(918) 299-6922
(918) 299-6923
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100813880A
—
OK
Enumeration date
05/10/2006
Last updated
06/16/2010
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