Pocatello PA Service LLC
NPI #1952668568 in Pocatello, Idaho
Provider Information
- NPI Number
- 1952668568
- Entity Type
- Organization
- Organization Name
- Pocatello PA Service LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Apr 19, 2012
- Last Updated
- Apr 19, 2012
Practice Location
Authorized Official
- Name
- STEVEN BOE SIMMONS, PA-C
- Title
- OWNER
- Phone
- (208) 241-0876
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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