Organization Name: | R DAN BOST OD PA |
NPI Number: | 1720167992 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLEY BOST (OFFICE MANAGER) |
Mailing Address: | 2733 Caddo St Arkadelphia |
State: | AR US |
Postal Code: | 719235309 |
Phone Number: | 8702462932 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 11/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 2306 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |