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Advanced Mobility
Customized Equipment (DME) in Pocatello, Idaho
NPI 1134131170

Advanced Mobility is a Customized Equipment (DME) based in Pocatello, ID and is specialized in Customized Equipment. Advanced Mobility practices in Pocatello, ID. The NPI Number for Advanced Mobility is 1134131170 and holds a License No. (Idaho).

The current practice location address for Advanced Mobility is 450 E Day St, Pocatello, ID and can be reached out via phone at 208-478-6554 and via fax at 208-478-6551.

Location: 450 E Day St, Pocatello, ID, 83201-7204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134131170
Provider Name
Advanced Mobility
Credential
Provider Entity Type
Organization
Address
450 E Day St, Pocatello, ID, 83201-7204
Phone Number
208-478-6554
Fax Number
208-478-6551
Provider Enumeration Date
08/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
806280600 05 ID
institution
Provider Business Practice Location Address Details
Address
450 E Day St
City
Pocatello
State
Idaho
Zip
83201-7204
Phone Number
208-478-6554
Fax Number
208-478-6551
person
Provider Business Mailing Address Details
Address
450 E Day St
City
Pocatello
State
Idaho
Zip
83201-7204
Phone Number
208-478-6554
Fax Number
208-478-6551
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
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Definition
Definition to come...
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