Organization
SANDIA OXYGEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY D WEAVER (CEO)
(505) 883-2817
Entity
Organization
Contact information
Practice address
4431 ANAHEIM AVE NE STE A, ALBUQUERQUE, NM 87113
(505) 883-2817
(505) 797-8539
Mailing address
4431 ANAHEIM AVE NE STE A, ALBUQUERQUE, NM 87113-1580
(505) 883-2817
(505) 797-8539
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54328713
—
NM
Enumeration date
08/24/2006
Last updated
05/23/2018
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