| Organization Name: | BOSS MEDICAL, LLC |
| NPI Number: | 1427192541 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHY C BOSS (ADMINSTRATOR) |
| Mailing Address: | 524 Illinois St Pawnee |
| State: | OK US |
| Postal Code: | 740582036 |
| Phone Number: | 9187622626 |
| Fax Number: | |
| NPI Enumeration Date: | 02/20/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | 1532 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |