| 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 |