MEDICARE: QUALITY MOBILITY SALES

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
1	332B00000X	Durable Medical Equipment & Medical Supplies	867753	OK

General Provider Information

NPI Number	:	1427074632
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY MOBILITY SALES

Provider Business Mailing Address
First Line	:	137 SE WASHINGTON BLVD
Second Line	:
City	:	BARTLESVILLE
State	:	OK
Zip	:	74006-2334
Country	:	US
Telephone Number	:	918-333-9040
Fax Number	:

Provider Business Practice Location Address
First Line	:	137 SE WASHINGTON BLVD
Second Line	:
City	:	BARTLESVILLE
State	:	OK
Zip	:	74006-2334
Country	:	US
Telephone Number	:	918-333-9040
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	STEVE P RISNER
Credential	:
Telephone Number	:	918-333-9040

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	02/22/2008

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Directions to “QUALITY MOBILITY SALES ” Practice Location

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