Whalio Doctors

NPI 1982095139

Fossil Medical LLC

Organisation Durable Medical Equipment & Medical Supplies Cabot, AR

Practice location

Address
2800 South 2nd Street, Suite D, Cabot, AR 72023-7025
Phone
(501) 286-6019
Fax
(501) 286-6021

Authorised official

Name
John C Balenko
Title
President
Phone
(501) 286-6019

Registered specialties

Durable Medical Equipment & Medical Supplies Primary
Suppliers Taxonomy 332B00000X

Registry record

NPI
1982095139
Entity type
Organization
NPI issued
10 Feb 2015
Record last updated
10 Feb 2015

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.