SCOTT BAILEY

BOISE, ID
NPI1114265485
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
(Licence: ID  DME20447)
Additional Taxonomies332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment
(Licence: ID  DME20447)
Enumeration Date2013-01-22
Last Update Date2013-01-22
Business Address
-- SCOTT BAILEY
206 S COLE RD
BOISE, ID 83709-0934
Phone number: 208-830-0016
Mailing Address
-- SCOTT BAILEY
206 S COLE RD
BOISE, ID 83709-0934
Phone number: 208-830-0016