Organization
PREMIER BRACES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY D. SCRIMSHER PT (PRESIDENT)
(509) 751-1780
Entity
Organization
Contact information
Practice address
1366 BRIDGE ST, CLARKSTON, WA 99403-2332
(509) 751-1780
(509) 751-8771
Mailing address
3415 QUAILWOOD CT, CLARKSTON, WA 99403-1749
(509) 751-1780
(509) 751-8771
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
602329359
WA
Other
Enumeration date
06/11/2007
Last updated
05/18/2009
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