| NPI | 1164519856 |
|---|---|
| Doing Business As | PETERSEN MEDICAL |
| Entity Type | Organization |
| Authorized Contact | GORDON RIDLEY President/CEO 801-373-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: UT 6088482-1714) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2019-11-25 |