Organization
MEDSOURCE MOBILITY LLC
Active
Other names
Aamco Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID CHARLES (PRESIDENT)
(801) 890-6824
Entity
Organization
Contact information
Practice address
319 HIGHWAY 30, UNIT 3, KIMBERLY, ID 83341
(866) 293-3218
(800) 456-6504
Mailing address
10520 S 700 E STE 209, SANDY, UT 84070-0945
(866) 293-3218
(800) 456-6504
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/17/2018
Last updated
07/17/2018
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