Organization
MEDSOURCE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID CHARLES (PRESIDENT)
(801) 771-3939
Entity
Organization
Contact information
Practice address
10520 S 700 E STE 210, SANDY, UT 84070-0943
(801) 771-3939
(888) 828-8290
Mailing address
10520 S 700 E STE 210, SANDY, UT 84070-0943
(801) 771-3939
(888) 506-2344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/13/2005
Last updated
03/17/2018
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