Organization
CORAL DESERT MEDICAL SUPPLY, LLC
Active
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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