PALOUSE FOOT & ANKLE CLINIC NPI 1205011889

NPI Information

PALOUSE FOOT & ANKLE CLINIC is a durable medical equipment medical supplies in Moscow, ID. The provider is 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. PALOUSE FOOT & ANKLE CLINIC NPI is 1205011889. The provider is registered as an organization entity type.

The provider's business location address is:

619 S WASHINGTON ST
103
MOSCOW, ID
ZIP 83843-090
Phone: (208) 882-8939
Fax: (509) 334-0380

The provider's authorized official is Brad J Capawana .
The authorized official title is Owner and has the following contact phone number (509) 334-4498.

The enumeration date for this NPI number is 1/2/2008 and was last updated on 1/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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