Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist | |
Specialist/Technologist, Other |
246Z00000X |
| NPI # | 1891713764 |
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| LBN Legal business name | PRIORITY MEDICAL, INC. | ||||
| Authorized official | RUSSELL HUIZING - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 07/18/2006 | ||||
| Last updated | 02/11/2020 - About 6 years ago | ||||
| Identifiers |
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