NPI age
16 years
Enumerated 2010-03-26
Across 264 active durable medical equipment & medical supplies providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1477877934 |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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