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Organization

RED ROCK MEDICAL SUPPLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDDIE NORRIS (OWNER)
(801) 485-6166
Entity
Organization

Contact information

Practice address
1880 N 2200 W STE 40, SALT LAKE CITY, UT 84116-4136
(801) 886-9700
(801) 415-9423
Mailing address
450 S 900 E, STE 100, SALT LAKE CITY, UT 84102-2981
(801) 886-9700
(801) 531-1949

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1396018545
UT
Enumeration date
02/20/2012
Last updated
09/10/2019
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