Gunnar Harrison Maughan, MSPO, CPO

NPI #1164121562 in Boise, Idaho

Provider Information

NPI Number
1164121562
Entity Type
Individual
Name
Gunnar Harrison Maughan, MSPO, CPO
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Prosthetic/Orthotic Supplier
Credential
MSPO, CPO
Enumeration Date
Feb 24, 2023
Last Updated
Feb 24, 2023

Practice Location

Address
9632 W EMERALD ST
City
Boise
State
Idaho
ZIP Code
83704-9762
Phone
(208) 866-5177

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Prosthetic/Orthotic Supplier

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