MODERN SHOE, INC.

PROVO, UT
NPI1225219587
Entity TypeOrganization
Authorized ContactANTHONY C THOMAS
President
801-375-2711
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2007-11-15
Last Update Date2010-05-28
Business Address
MODERN SHOE, INC.
350 W CENTER ST
PROVO, UT 84601-4323
Phone number: 801-375-2711
Mailing Address
MODERN SHOE, INC.
350 W CENTER ST
PROVO, UT 84601-4323
Phone number: 801-375-2711