| NPI | 1992292544 |
|---|---|
| Doing Business As | SAN JUAN RIVER MEDICAL |
| Entity Type | Organization |
| Authorized Contact | GARRETT HOLLY Business Office Director 435-651-3718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2019-06-11 |