| NPI | 1689783771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL CURTIS DICKERSON President 801-787-6456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-03-17 |