MEDICARE: SALTZER MEDICAL GROUP PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1538201462
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALTZER MEDICAL GROUP PA

Provider Business Mailing Address
First Line	:	217 W GEORGIA AVE
Second Line	:	SUITE 115
City	:	NAMPA
State	:	ID
Zip	:	83686-6811
Country	:	US
Telephone Number	:	208-463-3234
Fax Number	:	208-463-3044

Provider Business Practice Location Address
First Line	:	290 W GEORGIA AVE
Second Line	:
City	:	NAMPA
State	:	ID
Zip	:	83686-2835
Country	:	US
Telephone Number	:	208-463-3298
Fax Number	:	208-463-3044

Authorized Official
Title or Position	:	ADMINISTRATIVE ASSISTANT
Name	:	MRS. REBECCA A MALLOY
Credential	:
Telephone Number	:	208-463-3103

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	10/07/2011

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