Organization
EAGLE MEDICAL LLC
Active
Other names
Eagle Medical
Organization subpart
No
Provider details
NPI number
Authorized official
AARON MELDER (PARTNER)
(801) 889-2399
Entity
Organization
Contact information
Practice address
802 E WINCHESTER ST, STE 240, SALT LAKE CITY, UT 84107-7580
(801) 889-2399
Mailing address
802 E WINCHESTER ST, STE 240, SALT LAKE CITY, UT 84107-7580
(801) 889-2399
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
8205424-0160
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366713711
NPI
UT
Enumeration date
01/17/2012
Last updated
11/02/2016
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