Medsource Mobility LLC

NPI #1689161572 in Kimberly, Idaho

Provider Information

NPI Number
1689161572
Entity Type
Organization
Organization Name
Medsource Mobility LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Apr 17, 2018
Last Updated
Jul 17, 2018

Practice Location

Address
319 HIGHWAY 30
Address 2
UNIT 3
State
Idaho
ZIP Code
83341
Phone
(866) 293-3218

Authorized Official

Name
MR. DAVID CHARLES
Title
PRESIDENT
Phone
(801) 890-6824

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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