Advanced Mobility

NPI #1134131170 in Pocatello, Idaho

Provider Information

NPI Number: 1134131170
Entity Type: Organization
Organization Name: Advanced Mobility
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Aug 11, 2006
Last Updated: Jun 16, 2008

Practice Location

Address: 450 E DAY ST
Address 2: SUITE F
City: Pocatello
State: Idaho
ZIP Code: 83201-7204
Phone: (208) 478-6554

Authorized Official

Name: MR. COLTER DAR KIRKHAM
Title: OWNER
Phone: (208) 478-6554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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