Individual
EDDIE ZEPEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1401 S. DON ROSER DR, SUITE #E2, LAS CRUCES, NM 88011-4576
(915) 383-8872
(575) 993-5327
Mailing address
1401 S. DON ROSER DR, SUITE #E2, LAS CRUCES, NM 88011-4576
(915) 383-8872
(575) 993-5327
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09176071
—
NM
Enumeration date
03/19/2009
Last updated
10/04/2021
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