Organization
PACIFIC MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WEAVER (C.O.O.)
(800) 723-9180
Entity
Organization
Contact information
Practice address
611 E 2ND AVE, SPOKANE, WA 99202-6010
(509) 534-1742
(509) 242-2034
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
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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