| NPI | 1841279155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM E DOMAN Controller 801-263-5442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT 4781762-0160) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2012-04-24 |