Organization
ACCURATE OXYGEN AND MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES R LOPEZ RT (OWNER/OPERATOR)
(928) 684-5313
Entity
Organization
Contact information
Practice address
980 N TEGNER ST, SUITE A, WICKENBURG, AZ 85390-1468
(928) 684-5313
(928) 684-5323
Mailing address
980 N TEGNER ST, SUITE A, WICKENBURG, AZ 85390-1468
(928) 684-5313
(928) 684-5323
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
20020638
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0279840
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
07/08/2005
Last updated
10/02/2014
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