Organization
PINNACLE RANGE OF MOTION, LLC
Active
Organization
PINNACLE RANGE OF MOTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN BOE SIMMONS PA-C (OWNER)
(208) 241-0876
Entity
Organization
Contact information
Practice address
190 W BURNSIDE AVE, SUITE 3, CHUBBUCK, ID 83202-2411
(208) 317-8727
Mailing address
190 W BURNSIDE AVE, SUITE 3, CHUBBUCK, ID 83202-2411
(208) 317-8727
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/29/2013
Last updated
01/31/2014
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