| NPI | 1821436718 |
|---|---|
| Doing Business As | MOUNTAIN BRACE SYSTEMS |
| Entity Type | Organization |
| Authorized Contact | JAKE KENT KINGHORN Owner 208-350-3092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2022-10-04 |