Organization
PAWSABILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD GLENN MARTYN (DIRECTOR)
(650) 898-9117
Entity
Organization
Contact information
Practice address
2505 S RUSSELL ST, MISSOULA, MT 59801-7979
(406) 728-9288
Mailing address
256 SEASIDE DR, PACIFICA, CA 94044-2930
(650) 898-9117
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/30/2011
Last updated
05/30/2011
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