Organization
SANDERS ORTHOPEDIC BRACE & LIMB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC ODLING (MANAGER)
(254) 265-2478
Entity
Organization
Contact information
Practice address
2522 W PIERCE ST, CARLSBAD, NM 88220-3565
(575) 234-1726
(575) 887-2353
Mailing address
2522 W PIERCE ST, CARLSBAD, NM 88220-3565
(575) 234-1726
(575) 887-2353
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPO01753
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202004645
PRESBYTERIAN ID #
NM
05
—
53908074
—
NM
01
—
NM00TB50
BCBSNM ID #
NM
Enumeration date
11/01/2006
Last updated
01/11/2023
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