| NPI | 1669862447 |
|---|---|
| Doing Business As | MEDALLUS MEDICAL |
| Entity Type | Organization |
| Authorized Contact | RACHOT VACHAROTHONE Owner / CEO 801-260-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-07-08 |