Pacific Footwear Company, Inc.
NPI #1104148741 in Peoria, Arizona
Provider Information
- NPI Number
- 1104148741
- Entity Type
- Organization
- Organization Name
- Pacific Footwear Company, Inc.
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Feb 24, 2010
- Last Updated
- Apr 22, 2025
Practice Location
Authorized Official
- Name
- KEVIN W CLARKE
- Title
- PRESIDENT
- Phone
- (503) 524-9656
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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