NPI 1144334715

Stargate Mobility

Organisation Durable Medical Equipment & Medical Supplies Roswell, NM

Practice location

Address: 500 S Sunset Ave, Roswell, NM 88203-2866
Phone: (575) 208-0056
Fax: (505) 216-9380

Authorised official

Name: Jefferie a Dodge
Title: Owner
Phone: (575) 208-0056

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X Licence 03065376002 (NM)

Other Durable Medical Equipment & Medical Supplies providers in New Mexico →

Registry record

NPI: 1144334715
Entity type: Organization
NPI issued: 19 Aug 2006
Record last updated: 24 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.