Organization
THATCHER BROOK MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVEN PETTIT (PRESIDENT)
(801) 546-4368
Entity
Organization
Contact information
Practice address
1795 CHELEMES WAY, CLEARFIELD, UT 84015-6298
(801) 546-4368
(801) 546-1053
Mailing address
1795 CHELEMES WAY, CLEARFIELD, UT 84015-6298
(801) 546-4638
(801) 546-1053
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
UT
Other
Enumeration date
08/20/2007
Last updated
07/21/2022
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