| NPI | 1043243280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GALLUP President 801-713-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 39-8013602911-1) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |