Organization
TOLEDO MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS R DAUGHERTY (PRESIDENT/CEO)
(318) 208-3349
Entity
Organization
Contact information
Practice address
5916 FAIRFIELD AVE, SUITE B, SHREVEPORT, LA 71106-1914
(318) 861-1346
(318) 861-1346
Mailing address
5916 FAIRFIELD AVE, SUITE B, SHREVEPORT, LA 71106-1914
(318) 861-1346
(318) 861-1346
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4316915001
LA
Other
Enumeration date
07/03/2005
Last updated
08/22/2020
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