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Organization
MDS MEDICAL DEVICE SPECIALTY INC.
Active
Organization
MDS MEDICAL DEVICE SPECIALTY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALLEN JOLLEY DC (COO)
(801) 475-0303
Entity
Organization
Contact information
Practice address
5830 MCARDLE RD STE 15, CORPUS CHRISTI, TX 78412-3472
(888) 518-5110
(877) 475-0101
Mailing address
270 W 500 N, NORTH SALT LAKE, UT 84054-2769
(801) 475-0303
(888) 455-8597
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
02/23/2015
Last updated
07/12/2022
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