| NPI Details | |
|---|---|
| NPI | 1104848100 |
| Enumeration Date | 07/25/2006 |
| Last Updated | 08/09/2013 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | JASON JASON |
| Position | GENERAL COUNSEL & SECRETARY |
| Phone | (801) 281-0553 |
| Fax | |
| Practice Location | |
|---|---|
| 4894 COMMERCE DR STE D MURRAY UT, 84107-4787, US |
|
| Phone | (801) 281-0553 |
| Fax | |
| Business Location | |
|---|---|
| PO BOX 310709 NEW BRAUNFELS TX, 78131-0709, US |
|
| Phone | |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 332B00000X |
| License State | |
| License Number | |
| Remove 1104848100 NPI Number | |
According to our database, Scooter Store - Salt Lake City Llc NPI is 1104848100, taxonomy code is 332B00000X Scooter Store - Salt Lake City Llc physically located at 4894 Commerce Dr Ste D, Murray UT, 84107-4787. NPI Number 1033115704 has the healthcare provider type.
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1104848100 NPI number is provided on an as is basis without warranty of any kind. 1104848100 is maintained by the National Plan & Provider Enumeration System. The contents of Scooter Store - Salt Lake City Llc are for informational purposes only.
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