| NPI Details | |
|---|---|
| NPI | 1104848100 |
| Enumeration Date | 07/25/2006 |
| Last Updated | 08/09/2013 |
| Entity Type | Healthcare Provider |
| Active | Over 11 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.
Sponsored links
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.
Sponsored links