# VAST DURABLE MEDICAL EQUIPMENT INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023506466
- **Authorized official:** RYAN DANIEL BIAS DC (MANAGER)
- **Authorized official phone:** (951) 741-7023

## Contact information

- **Practice address:** 2985 S MERIDIAN RD STE 140, MERIDIAN, ID 83642-7961
- **Practice address phone:** (208) 860-2849
- **Mailing address:** 2985 S MERIDIAN RD STE 140, MERIDIAN, ID 83642-7961
- **Mailing address phone:** (208) 860-2849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | O-0583 | ID | Yes |

## Other

- **Enumeration date:** 04/30/2018
- **Last updated:** 04/30/2018