Organization
REGAL MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SHERO (CONTACT)
(817) 894-9436
Entity
Organization
Contact information
Practice address
135 N MAIN ST, WICHITA, KS 67202-1400
(866) 997-3425
(877) 734-2579
Mailing address
135 N MAIN ST, WICHITA, KS 67202-1400
(866) 997-3425
(877) 734-2579
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0077863
TX
335E00000X
Prosthetic/Orthotic Supplier
6000007186
PA
Other
Enumeration date
09/26/2006
Last updated
08/01/2008
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