| NPI | 1437414612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW CLARK Co Owner 801-718-2755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT 27447) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |