Pacific Footwear Company, Inc
Pacific Footwear Company, Inc is a Customized Equipment (DME) in Peoria, Arizona. Registered with an NPI since 2010.
- In the registry since
- 2010
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
13660 N 94th Dr Ste F-2Peoria, AZ 85381-4836
Phone: (623) 302-9396
Fax: (623) 302-9397
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Customized Equipment (DME) (primary) | Taxonomy 332BC3200X |
|---|---|
| Prosthetic/Orthotic Supplier | Taxonomy 335E00000X |
Record details
| NPI number | 1104148741 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kevin Clarke — President · (503) 524-9656 |
| Other names | Priority Footwear & Pedorthic Services |
| NPI enumerated | February 24, 2010 |
| Last updated in NPPES | April 22, 2025 |
| Certification date | April 22, 2025 |
| Mailing address | 10240 Sw Nimbus Ave, Suite L1, Portland, OR 97223-4358 |
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