Organization
SECLARK HOLDINGS, LLC DBA WASATCH MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW CLARK (CO-OWNER)
(801) 718-2755
Entity
Organization
Contact information
Practice address
1342 W 7800 S, WEST JORDAN, UT 84088-4100
(801) 566-5844
(801) 566-5605
Mailing address
1342 W 7800 S, WEST JORDAN, UT 84088-4100
(801) 566-5844
(801) 566-5605
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
27447
UT
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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