| NPI | 1356653117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMI WINGET Manager 801-803-0894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NV nv20061040994) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV nv20061040994) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-07-09 |