| NPI | 1396804753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ZELLER Authorized Agent 801-679-1874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-07-30 |