| NPI | 1215350822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD JORGENSEN Manager 801-821-2596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2014-02-03 |