NPI 1134131170

Advanced Mobility

Organisation Customized Equipment (DME) Pocatello, ID

Practice location

Address: 450 E Day St Suite F, Pocatello, ID 83201-7204
Phone: (208) 478-6554
Fax: (208) 478-6551

Authorised official

Name: Colter Dar Kirkham
Title: Owner
Phone: (208) 478-6554

Registered specialties

Customized Equipment (DME) Primary

Suppliers Taxonomy 332BC3200X

Other Durable Medical Equipment & Medical Supplies providers in Idaho →

Registry record

NPI: 1134131170
Entity type: Organization
NPI issued: 11 Aug 2006
Record last updated: 16 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.