Organization
JENCO MEDICAL INCORPORATED
Active
Organization
JENCO MEDICAL INCORPORATED
Active
Other names
Utah Prosthetics & Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW R. BRACKEN C.P.O (OWNER/PRACTITIONER)
(435) 383-9000
Entity
Organization
Contact information
Practice address
2202 N. MAIN ST #102, CEDAR CITY, UT 84721
(435) 383-9000
(435) 383-9003
Mailing address
2202 N MAIN ST. #102, CEDAR CITY, UT 84721
(435) 383-9000
(435) 383-9003
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870299464008
—
UT
Enumeration date
05/23/2007
Last updated
03/11/2019
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