Organization
PEDORTHIC CARE, LLC
Active
Organization
PEDORTHIC CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DUVDEVANI (OWNER)
(205) 822-1606
Entity
Organization
Contact information
Practice address
3141 LORNA RD, SUITE 100, HOOVER, AL 35216-5416
(205) 822-1606
(205) 822-9756
Mailing address
3141 LORNA RD, SUITE 100, HOOVER, AL 35216-5416
(205) 822-1606
(205) 822-9756
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/21/2008
Last updated
06/02/2010
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