Organization
BRADY MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY PROCTOR (OWNER)
(903) 744-9053
Entity
Organization
Contact information
Practice address
400 W MAIN ST UNIT D, DURANT, OK 74701-5000
(903) 744-9053
(940) 427-7189
Mailing address
400 W MAIN ST UNIT D, DURANT, OK 74701-5000
(903) 744-9053
(940) 427-7189
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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