Organization
EAGLE MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET C BRESKI (OWNER)
(208) 322-0928
Entity
Organization
Contact information
Practice address
11080 EXECUTIVE DR, BOISE, ID 83713
(208) 322-0928
(208) 322-0931
Mailing address
11080 EXECUTIVE DR, BOISE, ID 83713
(208) 322-0928
(208) 322-0931
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
04/08/2008
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