| NPI | 1316251663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ROBERT HEINER President 435-637-7727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: UT 1683311205) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT 1683311205) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2023-03-07 |