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Organization

PT MEDICAL LLC

Active
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Organization

PT MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN BIRD (MANAGING MEMBER)
(630) 364-8144
Entity
Organization

Contact information

Practice address
490 MEMORIAL DR, IDAHO FALLS, ID 83402-3656
(630) 364-8144
(866) 661-4322
Mailing address
PO BOX 51630, IDAHO FALLS, ID 83405-1630
(630) 364-8144
(866) 661-4322

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
04/17/2013
Last updated
04/17/2013
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