Organization
CORAL DESERT MEDICAL SUPPLY, LLC
Active
Other names
Desert Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADY FLYGARE (DIRECTOR)
(435) 773-4300
Entity
Organization
Contact information
Practice address
1490 E FOREMASTER DR, BUILDING B, ST GEORGE, UT 84790
(435) 773-4300
(435) 773-4299
Mailing address
PO BOX 912014, ST GEORGE, UT 84791
(435) 773-4300
(435) 773-4299
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
F68728
UT
Other
Enumeration date
05/31/2007
Last updated
11/27/2007
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