Organization
DEAN ROSECRANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN ROSECRANS (OWNER)
(208) 466-8000
Entity
Organization
Contact information
Practice address
424 7TH AVE S, NAMPA, ID 83651-4168
(208) 467-4790
(208) 465-5951
Mailing address
PO BOX 310, NAMPA, ID 83653-0310
(208) 467-4790
(208) 465-5951
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/22/2006
Last updated
08/22/2020
About Stedi
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