Organization
MEDICAL WEST RESPIRATORY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH A SANDLER (MANAGING DIRECTOR)
(314) 993-7920
Entity
Organization
Contact information
Practice address
1381 HIGH ST, SUITE 101, WASHINGTON, MO 63090-6446
(636) 390-4040
Mailing address
9301 DIELMAN INDUSTRIAL DR, SAINT LOUIS, MO 63132-2204
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
18411550
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1616644634MED
MERCY
MO
01
—
181658
BLUECROSS BLUE SHIELD MO
MO
01
—
612829
HEALTHLINK
MO
Enumeration date
02/16/2007
Last updated
02/05/2015
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