Organization
BOOST HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN MARTINSON (MBR)
(307) 680-9760
Entity
Organization
Contact information
Practice address
623 N COMMERCIAL DR, GILLETTE, WY 82716-2555
(307) 680-9760
Mailing address
PO BOX 2620, GILLETTE, WY 82717-2620
(307) 680-9760
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
About Stedi
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