Organization
MASON'S MEMORY DURABLE MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY L THORNBRUGHMASON OWNER (OWNER)
(785) 242-8882
Entity
Organization
Contact information
Practice address
2534 S MAIN ST, SUITE C, OTTAWA, KS 66067-9555
(785) 242-8882
(785) 242-8305
Mailing address
2534 S MAIN ST, SUITE C, OTTAWA, KS 66067-9555
(785) 242-8882
(785) 242-8305
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
KS
Other
Enumeration date
11/17/2006
Last updated
08/22/2020
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