Organization
PARK MEDICAL WEAR, INC.
Active
Organization
PARK MEDICAL WEAR, INC.
Active
Other names
Park Mastectomy Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DAVID PARK (PRESIDENT)
(866) 699-9612
Entity
Organization
Contact information
Practice address
1697 FREEDOM CT, HENDERSON, NV 89014-7526
(866) 699-9612
(702) 405-7147
Mailing address
1697 FREEDOM CT, HENDERSON, NV 89014-7526
(866) 699-9612
(702) 405-7147
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/17/2011
Last updated
08/28/2013
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