Premium Support Services INC

NPI #1003140724 in Boise, Idaho

Provider Information

NPI Number: 1003140724
Entity Type: Organization
Organization Name: Premium Support Services INC
Primary Specialty: Emergency Medicine
Enumeration Date: Sep 28, 2009
Last Updated: Sep 28, 2009

Practice Location

Address: 6568 S FEDERAL WAY
Address 2: STE 311
City: Boise
State: Idaho
ZIP Code: 83716-9277
Phone: (208) 284-0337

Authorized Official

Name: PAUL RUMORE
Title: CEO
Phone: (208) 284-0337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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