Organization · Type 2 NPI
Trailhead Medical Group LLC
Customized Equipment (DME) · Meridian, ID
NPI number
1457015422
Active
Practice location
2269 E Grayson St
Meridian, ID 83642-5348
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
Other customized equipment (dme) providers in Meridian
About NPI 1457015422
Trailhead Medical Group LLC's National Provider Identifier is 1457015422, issued on Oct 26, 2021. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Meridian, ID. The record was last updated on Jan 30, 2023.