Medicor, Llc

NPI 1053318709 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1053318709
Enumeration Date 07/07/2005
Last Updated 02/22/2012
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name RICHARD E RICHARD
Position OWNER
Phone (801) 942-5543
Fax (801) 944-4877
Practice Location
2469 FORT UNION BLVD
STE 105
SALT LAKE CITY UT, 84121-3343, US
Phone (801) 942-5543
Fax (801) 944-4877
Business Location
3652 BRIGHTON POINT DR
SALT LAKE CITY UT, 84121-5555, US
Phone (801) 942-5543
Fax (801) 944-4877
Toxanomy
Taxonomy Code 332B00000X
License State
License Number
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According to our database, Medicor, Llc NPI is 1053318709, taxonomy code is 332B00000X Medicor, Llc physically located at 2469 Fort Union Blvd, Salt Lake City UT, 84121-3343. NPI Number 1033115704 has the healthcare provider type.

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1053318709 NPI number is provided on an as is basis without warranty of any kind. 1053318709 is maintained by the National Plan & Provider Enumeration System. The contents of Medicor, Llc are for informational purposes only.