Organization
SOVEREIGN MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
C. A. (CEO/OWNER)
(952) 873-9232
Entity
Organization
Contact information
Practice address
8200 E BELLEVIEW AVE, GREENWOOD VILLAGE, CO 80111-2803
(952) 873-9232
Mailing address
8200 E BELLEVIEW AVE, GREENWOOD VILLAGE, CO 80111-2803
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
10/08/2023
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