| NPI | 1336144096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARLE SMITH GREGORY Operations 435-634-7625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: UT 5528522-1703) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2020-08-22 |