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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

Other identifiers
Code
Description
Identifier
Issuer
State
01
1376707034
NPI
ID
Enumeration date
04/30/2018
Last updated
04/30/2018
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