Organization
PREMIUM SUPPORT SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL RUMORE (CEO)
(208) 284-0337
Entity
Organization
Contact information
Practice address
6568 S FEDERAL WAY, STE 311, BOISE, ID 83716-9277
(208) 284-0337
Mailing address
6568 S FEDERAL WAY, STE 311, BOISE, ID 83716-9277
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M5928
ID
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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