Organization
PACIFIC MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WEAVER (GENERAL COUNSEL)
(800) 726-9180
Entity
Organization
Contact information
Practice address
901 N CURTIS RD STE 101, BOISE, ID 83706-1339
(208) 367-4688
Mailing address
1700 N CHRISMAN RD, TRACY, CA 95304-9314
(800) 726-9180
(209) 221-6113
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/27/2017
Last updated
04/12/2018
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