Organization
REBUILD MEDICAL INC
Active
Other names
Rebuild Medical Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN HUMPHREY (PRESIDENT)
(334) 320-5305
Entity
Organization
Contact information
Practice address
500 INTERSTATE PARK DR STE 532, MONTGOMERY, AL 36109-5487
(334) 320-5305
Mailing address
1408 PRAIRIE LN, MONTGOMERY, AL 36117-3413
(334) 320-5305
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/11/2017
Last updated
11/11/2017
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