NPI | 1639217862 |
---|---|
Doing Business As | UTAH PROSTHETICS AND ORTHOTICS |
Entity Type | Organization |
Authorized Contact | MATTHEW R BRACKEN Owner President 801-566-5795 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: UT E99607) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2020-08-22 |