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Bradley J. Rouse

Durable Medical Equipment & Medical Supplies in Edmond, OK. Organization (NPI-2).

NPI number1265645337
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1265645337
Entity type
Organization (NPI-2)
Legal business name
Bradley J. Rouse
Organization subpart
No
Enumeration date
May 7, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Other names

  • Medi-Sol. (Doing Business As)

Practice location

14018 N Western Ave
Edmond, OK 73013-1977

Phone 405-608-4200 · Fax 405-608-4214

Mailing address

Po Box 7736
Edmond, OK 73083-7736

Phone 405-608-4200 · Fax 405-608-4214

Authorized official

Bradley Jay Rouse
Owner
4056084200

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