| NPI | 1881946051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONAS THEODORE WILKINSON Vice President 801-417-8099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: UT 7906715-1710) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2013-04-30 |