# SPRY MEDICAL GROUP CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205284783
- **Authorized official:** TAYLOR EDWARDS (PRESIDENT)
- **Authorized official phone:** (435) 868-1001

## Contact information

- **Practice address:** 558 SILICON DR STE 102, SOUTHLAKE, TX 76092-7530
- **Practice address phone:** (435) 868-1001
- **Mailing address:** 530 E 600 N, PROVO, UT 84606-1914
- **Mailing address phone:** (435) 868-1001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | UT | Yes |

## Other

- **Enumeration date:** 05/25/2016
- **Last updated:** 01/17/2020