NPI 1013602135

Black Beaver Medical Supply LLC

Organisation Durable Medical Equipment & Medical Supplies Anadarko, OK

Practice location

Address: 123 E Broadway St, Anadarko, OK 73005-2823
Phone: (405) 923-1993

Authorised official

Name: Justin Patrick Ayres
Title: Billing Manager
Phone: (405) 923-1993

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Oklahoma →

Registry record

NPI: 1013602135
Entity type: Organization
NPI issued: 5 Apr 2023
Record last updated: 30 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.