Organization
NEBO MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINN WRIGHT (MANAGER)
(801) 404-1124
Entity
Organization
Contact information
Practice address
828 S 1040 W, PAYSON, UT 84651-4614
(801) 404-1124
Mailing address
828 S 1040 W, PAYSON, UT 84651-4614
(801) 404-1124
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
623131700
OWCP
UT
Enumeration date
04/28/2020
Last updated
04/28/2020
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