| NPI | 1225382765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY BROADBENT President 801-463-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: UT 5231126-1714) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |