Organization
JENCO MEDICAL, INC.
Active
Other names
Utah Prosthetics and Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN COLLEEN CHILDS (OFFICE MANAGER)
(801) 566-5795
Entity
Organization
Contact information
Practice address
1153 N MAIN ST, SUITE B140, LOGAN, UT 84341-2495
(435) 750-6579
(435) 750-6586
Mailing address
7026 COMMERCE PARK DR, SUITE 2, MIDVALE, UT 84047-1026
(801) 566-5795
(801) 566-5790
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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