| NPI | 1093253221 |
|---|---|
| Other Name | STATESERV MEDICAL OF NEW MEXICO |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ROODE COO 877-633-7250 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2019-10-21 |