Boss Medical, LLC
Durable Medical Equipment & Medical Supplies, Customized Equipment in Pawnee, OK. Organization (NPI-2).
NPI number1427192541
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1427192541
- Entity type
- Organization (NPI-2)
- Legal business name
- Boss Medical, LLC
- Organization subpart
- No
- Enumeration date
- Feb 20, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | 1532 | OK | Yes |
Practice location
524 Illinois StPawnee, OK 74058-2036
Phone 918-762-2626
Mailing address
524 Illinois StPawnee, OK 74058-2036
Phone 918-762-2626
Authorized official
Kathy C Boss
Adminstrator
9187622626
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