Kormylo Orthopedic INC

NPI #1902811433 in Boise, Idaho

Provider Information

NPI Number
1902811433
Entity Type
Organization
Organization Name
Kormylo Orthopedic INC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Jul 31, 2006
Last Updated
Mar 16, 2010

Practice Location

Address
175 N BENJAMIN LN
City
Boise
State
Idaho
ZIP Code
83704-8328
Phone
(208) 377-4024

Authorized Official

Name
MARKUS A KORMYLO, C.P.O.
Title
PRESIDENT - OWNER
Phone
(208) 377-4024

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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