| NPI | 1346883956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL M STEPHENS Member 435-754-6202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-10-26 |
| Last Update Date | 2020-04-01 |