Organization
SANDIA SURGICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY D WEAVER (PRESIDENT)
(505) 883-2817
Entity
Organization
Contact information
Practice address
6120 SIGNAL NE, ALBUQUERQUE, NM 87113
(505) 883-2817
(505) 883-2590
Mailing address
6120 SIGNAL NE, ALBUQUERQUE, NM 87113
(505) 883-2817
(505) 883-2590
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
FA0007917
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q1683
—
NM
Enumeration date
10/25/2006
Last updated
08/22/2020
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