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NPI Code Detail

MEDICARE: BREATHING DISORDERS SERVICES

MEDICARE: BREATHING DISORDERS SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332BX2000XOxygen Equipment & Supplies (DME)08036925NAZ

General Provider Information

NPI Number : 1043206667
Entity Type Code : Organization
Provider Name (Legal Business Name) : BREATHING DISORDERS SERVICES
Provider Business Mailing Address
First Line : PO BOX 269035
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73126-9035
Country : US
Telephone Number : 405-635-0004
Fax Number : 405-635-0009
Provider Business Practice Location Address
First Line : 4255 N STOCKTON HILL RD
Second Line : SUITE 6
City : KINGMAN
State : AZ
Zip : 86409-2482
Country : US
Telephone Number : 928-692-9525
Fax Number : 928-692-9502
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : ELLA TRUITT
Credential :
Telephone Number : 405-635-0004
Provider Enumeration Date : 09/20/2005
Last Update Date : 04/04/2008

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Directions to “BREATHING DISORDERS SERVICES ” Practice Location

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