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Gunnar Harrison Maughan, MSPO,CPO
Prosthetic/Orthotic Supplier in Boise, Idaho
NPI 1164121562

Gunnar Harrison Maughan is a Prosthetic/Orthotic Supplier based in Meridian, ID. Gunnar Harrison Maughan practices in Boise, ID and has the professional credentials of MSPO,CPO. The NPI Number for Gunnar Harrison Maughan is 1164121562 and holds a License No. (Idaho).

The current practice location address for Gunnar Harrison Maughan is 9632 W Emerald St, Boise, ID and can be reached out via phone at 208-866-5177.

Location: 9632 W Emerald St, Boise, ID, 83646-5120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164121562
Provider Name
Gunnar Harrison Maughan
Credential
MSPO,CPO
Provider Entity Type
Individual
Gender
Male
Address
9632 W Emerald St, Boise, ID, 83646-5120
Phone Number
208-866-5177
Fax Number
Provider Enumeration Date
02/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9632 W Emerald St
City
Boise
State
Idaho
Zip
83704-9762
Phone Number
208-866-5177
Fax Number
person
Provider Business Mailing Address Details
Address
9632 W Emerald St
City
Boise
State
Idaho
Zip
83704-9762
Phone Number
208-866-5177
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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