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Organization

ROADRUNNER OXYGEN SERVICE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JODI RAE BLOW (VICE PRESIDENT)
(623) 842-6020
Entity
Organization

Contact information

Practice address
5234 W MISSOURI AVE, GLENDALE, AZ 85301-6004
(623) 842-6020
(623) 842-6021
Mailing address
5234 W MISSOURI AVE, GLENDALE, AZ 85301-6004
(623) 842-6020
(623) 842-6021

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
07-684101-J
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
794257
AZ
01
AZ0279240
BCBS
AZ
Enumeration date
11/08/2005
Last updated
08/22/2020
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