| NPI | 1205874914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES CALL President 208-524-1995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: ID P085) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2008-08-11 |