Eastern Idaho Medical Supply Company

NPI #1528226982 in Ammon, Idaho

Provider Information

NPI Number
1528226982
Entity Type
Organization
Organization Name
Eastern Idaho Medical Supply Company
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jun 1, 2008
Last Updated
Jun 1, 2008

Practice Location

Address
3800 TAYLORVIEW LN
City
Ammon
State
Idaho
ZIP Code
83406-8145
Phone
(208) 589-2897

Authorized Official

Name
MARK S TAYLOR
Title
PRESIDENT
Phone
(208) 589-2897

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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