Glacier Prosthetic Care, Inc.

NPI #1750410825 in Ponderay, Idaho

Provider Information

NPI Number
1750410825
Entity Type
Organization
Organization Name
Glacier Prosthetic Care, Inc.
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Mar 5, 2007
Last Updated
Nov 18, 2009

Practice Location

Address
205 VERMEER DR
Address 2
SUITE C
State
Idaho
ZIP Code
83852-1660
Phone
(208) 255-4106

Authorized Official

Name
MRS. GINA CARPENTER
Title
VICE PRESIDENT
Phone
(406) 755-3344

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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