Star Valley Home Oxygen

NPI #1972740397 in Thayne, Wyoming

Provider Information

NPI Number: 1972740397
Entity Type: Organization
Organization Name: Star Valley Home Oxygen
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Jan 8, 2009
Last Updated: Oct 5, 2009

Practice Location

Address: 118 S MAIN ST
City: Thayne
State: Wyoming
ZIP Code: 83127
Phone: (307) 883-3445

Authorized Official

Name: CRAIG KENNETH WALTHER
Title: OWNER
Phone: (307) 883-3445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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