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Organization

VITAL SPAN CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRYANT SPENCER (MEMBER)
(205) 248-7035
Entity
Organization

Contact information

Practice address
605 41ST ST STE E, TUSCALOOSA, AL 35405-3701
(205) 248-7035
Mailing address
1130 UNIVERSITY BLVD STE B9, BOX 366, TUSCALOOSA, AL 35401-0328

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BX2000X
Oxygen Equipment & Supplies (DME)
335E00000X
Prosthetic/Orthotic Supplier

Other

Enumeration date
03/03/2026
Last updated
03/03/2026
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