WAGONER MOBILITY & MEDICAL NPI 1740586395

NPI Information

  • NPI: 1740586395
  • Provider Name: WAGONER MOBILITY & MEDICAL
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 30 ELM DR
    PRYOR, OK
    ZIP 74361
  • Phone: (918) 260-4687

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NPI Details

WAGONER MOBILITY & MEDICAL is a durable medical equipment medical supplies in Pryor, OK. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. WAGONER MOBILITY & MEDICAL NPI is 1740586395. The provider is registered as an organization entity type.

The provider's business location address is:

30 ELM DR
PRYOR, OK
ZIP 74361-456
Phone: (918) 260-4687
Fax: (187) 735-2918

The provider's authorized official is Brian Keith Stevens .
The authorized official title is Manager and has the following contact phone number (918) 260-4687.

The enumeration date for this NPI number is 1/31/2011 and was last updated on 1/31/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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