Organization Name: | DURA MED INC |
NPI Number: | 1467462234 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARSHALL BYRON YARBOROUGH (VP OWNER) |
Mailing Address: | 101 Plaza Carmona Pl Suite A Hot Springs Village |
State: | AR US |
Postal Code: | 719093000 |
Phone Number: | 5019226300 |
Fax Number: | 5019226309 |
NPI Enumeration Date: | 08/08/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 004729 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | AR |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |