Organization
PERSONAL PERFORMANCE MEDICAL CORPORATION
Active
Other names
Fit-Well Prosthetic & Orthotic Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT E ALLEN CERTIFIED PROSTHETIS (OWNER)
(801) 364-3100
Entity
Organization
Contact information
Practice address
7575 S 900 E, MIDVALE, UT 84047-2343
(801) 364-3100
(801) 872-5714
Mailing address
7575 S 900 E, MIDVALE, UT 84047-2343
(801) 364-3100
(801) 872-5714
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
19793280
UT
Other
Enumeration date
11/22/2005
Last updated
07/05/2024
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