NPI | 1225217896 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD CARL ANDERSON Owner 801-898-6425 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT V21218) |
Enumeration Date | 2007-10-30 |
Last Update Date | 2009-04-17 |