Organization Name: | ROBERT W DMD HUSKEY |
NPI Number: | 1003205089 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT W HUSKEY (OWER) |
Mailing Address: | 1610 2nd Ave Opelika |
State: | AL US |
Postal Code: | 368015618 |
Phone Number: | 3347456295 |
Fax Number: | 3347493002 |
NPI Enumeration Date: | 01/14/2015 |
NPI Last Update Date: | 06/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | 3215 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |