Premier Braces
NPI #1104029743 in Clarkston, Washington
Provider Information
- NPI Number
- 1104029743
- Entity Type
- Organization
- Organization Name
- Premier Braces
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jun 11, 2007
- Last Updated
- May 18, 2009
Practice Location
- Address
- 1366 BRIDGE ST
- City
- Clarkston
- State
- Washington
- ZIP Code
- 99403-2332
- Phone
- (509) 751-1780
Authorized Official
- Name
- MR. RODNEY D. SCRIMSHER, PT
- Title
- PRESIDENT
- Phone
- (509) 751-1780
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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