Organization
A&M MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANJANETTE ROBERTS (MEMBER)
(208) 359-0547
Entity
Organization
Contact information
Practice address
4176 W HOMESTEAD DR, REXBURG, ID 83440-3089
(208) 359-0547
(208) 359-8014
Mailing address
4176 W HOMESTEAD DR, REXBURG, ID 83440-3089
(208) 359-0547
(208) 359-8014
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
004139201
ID
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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