Pt Medical LLC
NPI #1073956306 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1073956306
- Entity Type
- Organization
- Organization Name
- Pt Medical LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Apr 17, 2013
- Last Updated
- Apr 17, 2013
Practice Location
- Address
- 490 MEMORIAL DR
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83402-3656
- Phone
- (630) 364-8144
Authorized Official
- Name
- STEPHEN BIRD
- Title
- MANAGING MEMBER
- Phone
- (630) 364-8144
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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