| NPI | 1306950647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM LOTZ President 435-986-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT 6069887-1714) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |