| NPI | 1164676532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SMITH Secretary Of Treasury 801-458-7422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: UT 12660296-002-STC) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2008-11-11 |