Organization
VALLEY MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON A. MONKS (MANGING MEMBER)
(208) 955-7491
Entity
Organization
Contact information
Practice address
2065 E. FAIRVIEW AVE., MERIDIAN, ID 83642-5798
(208) 955-7491
(208) 955-7492
Mailing address
2065 E. FAIRVIEW AVE., MERIDIAN, ID 83642-5798
(208) 955-7491
(208) 955-7492
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
03/04/2009
Last updated
01/17/2012
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