Organization
TG OXYGEN, LLC
Active
Other names
Fairway Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA KLIMCZAK (VICE PRESIDENT)
(480) 231-8849
Entity
Organization
Contact information
Practice address
943 S 48TH ST, 104, TEMPE, AZ 85281-5123
(480) 347-9190
(877) 620-9804
Mailing address
943 S 48TH ST, 104, TEMPE, AZ 85281-5123
(480) 347-9190
(877) 620-9804
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
AZ
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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