Individual
THOMAS PACAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1137 VAN VOORHIS RD, SUITE 15, MORGANTOWN, WV 26505-3453
(304) 241-4094
(304) 381-2041
Mailing address
PO BOX 4112, MORGANTOWN, WV 26504-4112
(304) 241-4094
(304) 381-2041
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/24/2015
Last updated
10/28/2015
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