Organization
REDTAIL SUPPLY CORPORATION DBA AMRAMP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC J. WALLENTINE MBA, CSA (PRESIDENT)
(208) 371-1258
Entity
Organization
Contact information
Practice address
2375 S COBALT POINT WAY STE 102, MERIDIAN, ID 83642-8029
(208) 371-1258
(208) 350-7271
Mailing address
2375 S COBALT POINT WAY STE 102, MERIDIAN, ID 83642-8029
(208) 371-1258
(208) 350-7271
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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