Organization
MOUNTAIN WEST MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MANGUM DO (CEO)
(801) 486-3021
Entity
Organization
Contact information
Practice address
2516 E SNOW MOUNTAIN DR, SANDY, UT 84093-1858
(801) 900-3221
Mailing address
2516 E SNOW MOUNTAIN DR, SANDY, UT 84093-1858
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
04/15/2022
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