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Organization
VAST DURABLE MEDICAL EQUIPMENT INC
Active
Organization
VAST DURABLE MEDICAL EQUIPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN DANIEL BIAS DC (MANAGER)
(951) 741-7023
Entity
Organization
Contact information
Practice address
2985 S MERIDIAN RD STE 140, MERIDIAN, ID 83642-7961
(208) 860-2849
Mailing address
2985 S MERIDIAN RD STE 140, MERIDIAN, ID 83642-7961
(208) 860-2849
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-0583
ID
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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