| NPI | 1831409929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIE FRY Billing Manager 801-452-6065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |