| NPI | 1932820750 |
|---|---|
| Doing Business As | VALLEY MEDICAL OF IDAHO |
| Entity Type | Organization |
| Authorized Contact | STEPHEN P GRIGGS CEO 407-206-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2022-09-09 |