Organization
CRANDALL MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE TRACY MBA (OWNER)
(505) 720-1877
Entity
Organization
Contact information
Practice address
4924 WELLSBURG AVE NW, ALBUQUERQUE, NM 87120-3801
(505) 720-1877
Mailing address
PO BOX 21490, ALBUQUERQUE, NM 87154-1490
(505) 720-1877
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/28/2017
Last updated
10/28/2017
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