| NPI | 1538485735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JJOHN ORVIS Owneer 801-463-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT 76650733) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2010-05-07 |