Organization · Type 2 NPI

Physician's Source Home Medical

Oxygen Equipment & Supplies (DME) · Fairhope, AL

NPI number 1629368071 Active

Practice location

305 Belle Chase Ct. N
Fairhope, AL 36532

Mailing address

305 Belle Chase Ct N
Fairhope, AL 36532-3842

Specialties and licenses

TaxonomyCodeLicense
Oxygen Equipment & Supplies (DME) Primary 332BX2000XNone listed
Prosthetic/Orthotic Supplier 335E00000XNone listed

Oxygen Equipment & Supplies (DME): Definition to come...

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About NPI 1629368071

Physician's Source Home Medical's National Provider Identifier is 1629368071, issued on Apr 19, 2011. The primary taxonomy on file is Oxygen Equipment & Supplies (DME) (332BX2000X), and the practice location is in Fairhope, AL. The record was last updated on Apr 19, 2011.