Organization
PACIFIC MEDICAL, INC.
Active
Parent organization
PACIFIC MEDICAL, INC.
Other names
Pacific Medical Prosthetics & Orthotics
Organization subpart
Yes
Provider details
NPI number
Legal business name
PACIFIC MEDICAL, INC.
Authorized official
MARK WEAVER JD (GENERAL COUNSEL)
(800) 726-9180
Entity
Organization
Contact information
Practice address
961 MATLEY LN, STE 160, RENO, NV 89502-2188
(775) 324-2394
(775) 324-2918
Mailing address
1700 NCHRISMAN RD, TRACY, CA 95304-9314
(800) 726-9180
(800) 861-5950
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
07/09/2014
Last updated
07/29/2015
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