NPI 1902258916
Pro Dme LLC
Practice location
- Address
- 2136 S Richards St STE B, South Salt Lake, UT 84115-2606
- Phone
- (877) 655-7654
- Mailing address
- 2136 S Richards St, South Salt Lake, UT 84115-2606
Authorised official
- Name
- Darin William Johncock
- Title
- Ceo
- Phone
- (888) 412-8087
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1902258916
- Entity type
- Organization
- NPI issued
- 1 Jul 2016
- Record last updated
- 8 Feb 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.