| Vast Durable Medical Equipment Inc | |
|
2985 S Meridian Rd Ste 140 Meridian ID 83642-7961 | |
| (208) 860-2849 | |
| Not Available |
| Full Name | Vast Durable Medical Equipment Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2985 S Meridian Rd Ste 140, Meridian, Idaho |
| Authorized Official Name and Position | Ryan Daniel Bias (MANAGER) |
| Authorized Official Contact | 9517417023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vast Durable Medical Equipment Inc 2985 S Meridian Rd Ste 140 Meridian ID 83642-7961 Ph: (208) 860-2849 | Vast Durable Medical Equipment Inc 2985 S Meridian Rd Ste 140 Meridian ID 83642-7961 Ph: (208) 860-2849 |
| NPI Number | 1023506466 |
|---|---|
| Provider Enumeration Date | 04/30/2018 |
| Last Update Date | 04/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023506466 | NPI | - | NPPES |
| 1376707034 | Other | ID | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | O-0583 (Idaho) | Primary |
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