| NPI | 1003458365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY BROADBENT Owner 801-590-2703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-10-08 |