NPI 1255570099

Custom Dme

Organisation Anaplastologist Bountiful, UT

Practice location

Address: 1455 S 500 W STE D, Bountiful, UT 84010-8252
Phone: (801) 997-0545
Fax: (888) 977-5399
Mailing address: 3474 S 100 E, Bountiful, UT 84010-6605

Authorised official

Name: Paul Benjamin Tanner
Title: Owner
Phone: (801) 997-0545

Registered specialties (2)

Anaplastologist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 229N00000X

Other Anaplastologist providers in Utah →

Ocularist

Eye and Vision Services Providers Taxonomy 156FX1700X

Other Technician/Technologist providers in Utah →

Registry record

NPI: 1255570099
Entity type: Organization
NPI issued: 18 Feb 2009
Record last updated: 31 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.