Malad Medical Supply LLC
NPI #1780858175 in Malad City, Idaho
Provider Information
- NPI Number
- 1780858175
- Entity Type
- Organization
- Organization Name
- Malad Medical Supply LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Apr 16, 2008
- Last Updated
- Mar 18, 2014
Practice Location
- Address
- 136 N 70 E
- City
- Malad City
- State
- Idaho
- ZIP Code
- 83252-1208
- Phone
- (208) 484-3339
Authorized Official
- Name
- MR. RYAN MICHAEL SUMMERS
- Title
- OWNER
- Phone
- (208) 484-3339
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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