Organization
PACIFIC MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR EDWARDS (PRESIDENT)
(435) 868-1001
Entity
Organization
Contact information
Practice address
505 E 500 N, PROVO, UT 84606-3047
(435) 868-1001
Mailing address
505 E 500 N, PROVO, UT 84606-3047
(435) 868-1001
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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