Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier |
| NPI Number | 1093253221 |
| LBN Legal business name | STATESERV MEDICAL |
| Authorized official | CHRISTOPHER ROODE - (COO) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 02/08/2017 |
| Last updated | 10/21/2019 - About 7 years ago |
| Identifiers | n/a |
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