Organization · Type 2 NPI
Portneuf Brace Company, LLC
Durable Medical Equipment & Medical Supplies · Pocatello, ID
NPI number
1447687520
Active
Practice location
560 Memorial Dr Ste C
Pocatello, ID 83201-4073
Fax (855) 319-1499
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | DME22523 (ID) |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
4 other providers at this address
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About NPI 1447687520
Portneuf Brace Company, LLC's National Provider Identifier is 1447687520, issued on Oct 3, 2013. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Pocatello, ID. The record was last updated on Oct 3, 2013.