| NPI | 1386979532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GALLUP President 801-713-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 801166726) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2009-10-06 |