| NPI | 1659540359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT A. CLARK President 801-505-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT 106339-0501) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2020-04-21 |