Organization
ORTHOMEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK P MUSACHIA (PRESIDENT)
(832) 816-4003
Entity
Organization
Contact information
Practice address
101 AUSTIN CIR, BIRMINGHAM, AL 35242-7070
(832) 816-4003
Mailing address
101 AUSTIN CIR, BIRMINGHAM, AL 35242-7070
(832) 816-4003
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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