Organization
PACIFIC MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WEAVER (COO)
(800) 723-9180
Entity
Organization
Contact information
Practice address
1024 W ROBINHOOD DR STE 2, STOCKTON, CA 95207-5644
(209) 490-4515
(209) 227-8522
Mailing address
1700 N CHRISMAN RD, TRACY, CA 95304-9314
(800) 726-9180
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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