Organization · Type 2 NPI
Idaho Sports Bracing Inc
Durable Medical Equipment & Medical Supplies · Meridian, ID
NPI number
1801023643
Active
Practice location
711 N Ralstin St
Meridian, ID 83642-4079
Fax (208) 887-9235
Mailing address
PO Box 625
Meridian, ID 83680-0625
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None listed |
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.
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About NPI 1801023643
Idaho Sports Bracing Inc's National Provider Identifier is 1801023643, issued on Jun 19, 2009. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Meridian, ID. The record was last updated on Jun 19, 2009.