Organization
PRO HEALTH SUPPLY
Active
Organization
PRO HEALTH SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON TIPPETTS (CEO)
(801) 940-3205
Entity
Organization
Contact information
Practice address
180 N UNIVERSITY AVE STE 270, PROVO, UT 84601-5648
(801) 940-3205
Mailing address
180 N UNIVERSITY AVE STE 270, PROVO, UT 84601-5648
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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