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Organization

ACE MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT G MARSHALL (OWNER)
(304) 525-2211
Entity
Organization

Contact information

Practice address
2702 1ST AVE, HUNTINGTON, WV 25702-1340
(304) 525-2211
(304) 525-2212
Mailing address
2702 1ST AVE, HUNTINGTON, WV 25702-1340
(304) 525-2211
(304) 525-2212

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003039694
BLUE CROSS BLUE SHIELD
WV
05
3910001293
WV
Enumeration date
12/13/2013
Last updated
09/05/2014
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