Portneuf Brace Company, LLC
NPI #1447687520 in Pocatello, Idaho
Provider Information
- NPI Number
- 1447687520
- Entity Type
- Organization
- Organization Name
- Portneuf Brace Company, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 3, 2013
- Last Updated
- Oct 3, 2013
Practice Location
Authorized Official
- Name
- DAVID VANORDEN
- Title
- MANAGER
- Phone
- (208) 242-3931
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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