NPI | 1629183314 |
---|---|
Doing Business As | VIKING MEDICAL |
Entity Type | Organization |
Authorized Contact | LONNIE BLAKE DORCEY Owner/President 205-631-8915 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 312) |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: AL 128) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2020-09-02 |