NPI | 1225496334 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY ANDERSON Owner 801-663-6015 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2016-02-03 |
Last Update Date | 2022-01-25 |