| NPI | 1891094215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRESSA GOFF Ar Manager 801-728-1290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT DME) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2011-03-24 |