Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier |
| NPI # | 1003694845 |
| LBN Legal business name | CORNER MEDICAL LLC |
| Authorized official | TAMMI BAGSTAD - (COMPLIANCE OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/21/2023 |
| Last updated | 09/21/2023 - About 3 years ago |
| Identifiers | n/a |
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