| NPI | 1497782759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GALLUP Secretary 801-713-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: ID 003046109-S) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2013-12-02 |