| NPI | 1356522304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY R STENQUIST Owner 801-483-1262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT 1744P3200X) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2011-11-28 |