Valley Medical Shoppe INC

NPI #1215977384 in Idaho Falls, Idaho

Provider Information

NPI Number
1215977384
Entity Type
Organization
Organization Name
Valley Medical Shoppe INC
Subpart
Yes (part of a larger organization)
Parent Organization
VALLEY MEDICAL SHOPPE INC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jun 7, 2006
Last Updated
Apr 1, 2008

Practice Location

Address
3908 WASHINGTON PARKWAY
State
Idaho
ZIP Code
83404
Phone
(208) 523-3800

Authorized Official

Name
MR. GARY W AIMAN
Title
OWNER
Phone
(208) 356-7913

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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