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 | 2024-09-20 |