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REVITALIZE MEDICAL SUPPLY 1508533209

Overview
Name: REVITALIZE MEDICAL SUPPLY Specialty: Durable Medical Equipment & Medical Supplies Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Suppliers Classification: Durable Medical Equipment & Medical Supplies Specialization: . Definition of Specialty: 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.
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: REVITALIZE MEDICAL SUPPLY,4954 E POWERHOUSE DR,IDAHO FALLS,ID,834065064,US Mailing Address: REVITALIZE MEDICAL SUPPLY,4954 E POWERHOUSE DR,IDAHO FALLS,ID,834065064,US
Contact #
Practice location phone #: 2085890821 Practice location fax #: Mailing address Phone #: 2085890821 Mailing Address fax #: Authorized official Name/Telephone #:WHITNEY, WHITWORTH, OWNER 2085890821
Misc
Date NPI was obtained: 08/30/2021 Last data data was updated: 08/30/2021 Insurances:

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