| Organization Name: | BAYBURY MEDICAL INC |
| NPI Number: | 1053614461 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TODD L LUTH (MEMBER/OWNER) |
| Mailing Address: | 1051 Lantrip Rd Sherwood |
| State: | AR US |
| Postal Code: | 721204161 |
| Phone Number: | 5018330087 |
| Fax Number: | 5018356905 |
| NPI Enumeration Date: | 12/08/2010 |
| NPI Last Update Date: | 12/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BD1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Dialysis Equipment & Supplies |
| Taxonomy Definition: | |