Organization
SONORAN MEDICAL SUPPLIES, LLC DBA MADDOX MEDICAL LLC
Active
Other names
Maddox Medical LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GUS PANTELIDES (OWNER)
(480) 256-8871
Entity
Organization
Contact information
Practice address
1044 N ARIZONA BLVD, COOLIDGE, AZ 85128-3727
(480) 256-8871
Mailing address
1044 N ARIZONA BLVD, COOLIDGE, AZ 85128-3727
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
05/07/2021
Last updated
03/10/2026
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