Prodigy Medical, Llc

NPI 1073551131 - Durable Medical Equipment & Medical Supplies - 332BX2000X

NPI Details
NPI 1073551131
Enumeration Date 06/02/2006
Last Updated 08/26/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BERENICE I BERENICE
Position PARTNER
Phone (907) 226-3400
Fax (907) 226-3300
Practice Location
347 W DANVIEW AVE
HOMER AK, 99603-7028, US
Phone (907) 226-3400
Fax (907) 226-3300
Business Location
PO BOX 2624
HOMER AK, 99603-2624, US
Phone (907) 226-3400
Fax (907) 226-3300
Toxanomy
Taxonomy Code 332BX2000X
License State Alaska
License Number 991850
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According to our database, Prodigy Medical, Llc NPI is 1073551131, taxonomy code is 332BX2000X and license number is 991850, license state is located at Alaska. Prodigy Medical, Llc physically located at 347 W Danview Ave, Homer AK, 99603-7028. NPI Number 1033115704 has the healthcare provider type.

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1073551131 NPI number is provided on an as is basis without warranty of any kind. 1073551131 is maintained by the National Plan & Provider Enumeration System. The contents of Prodigy Medical, Llc are for informational purposes only.