Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Respiratory Therapist, Certified |
227800000X |
| NPI Number | 1346531852 |
| LBN Legal business name | DERIDDER MEDICAL EQUIPMENT SUPPLY |
| Authorized official | BENTON BLAKENEY - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/02/2011 |
| Last updated | 05/03/2011 - About 15 years ago |
| Identifiers | n/a |
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DERIDDER MEDICAL EQUIPMENT SUPPLY
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