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Organization

MALAD MEDICAL SUPPLY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RYAN MICHAEL SUMMERS (OWNER)
(208) 484-3339
Entity
Organization

Contact information

Practice address
136 N 70 E, MALAD CITY, ID 83252-1208
(208) 484-3339
Mailing address
PO BOX 247, MALAD CITY, ID 83252-0247
(208) 484-3339

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
04/16/2008
Last updated
03/18/2014
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