Organization
MEDICAL PARK HOMECARE INC
Active
Other names
Select HME
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BRENT MOORE RPD (PRESIDENT AND OWNER)
(918) 335-6688
Entity
Organization
Contact information
Practice address
139 SE KATHERINE AVE, BARTLESVILLE, OK 74006-2316
(918) 335-6688
(918) 335-9787
Mailing address
139 SE KATHERINE AVE, BARTLESVILLE, OK 74006-2316
(918) 335-6688
(918) 335-9787
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
9-D-777
OK
Other
Enumeration date
09/22/2006
Last updated
04/09/2008
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