Organization
RAPHA MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL S DICKMAN (PRESIDENT/OWNER)
(405) 684-0729
Entity
Organization
Contact information
Practice address
4224 S PEORIA AVE STE 4, TULSA, OK 74105-7640
(918) 270-4950
Mailing address
4224 S PEORIA AVE STE 4, TULSA, OK 74105-7640
(918) 270-4950
(866) 200-8489
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200125610A
—
OK
Enumeration date
11/29/2007
Last updated
08/28/2023
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