Organization
MDS MEDICAL DEVICE SPECIALTY INC.
Active
Parent organization
MDS MEDICAL DEVICE SPECIALTY INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MDS MEDICAL DEVICE SPECIALTY INC.
Authorized official
MARK ALLEN JOLLEY DC (COO)
(801) 475-0303
Entity
Organization
Contact information
Practice address
116 E MARKET ST STE 110, JOHNSON CITY, TN 37604-5793
(888) 518-5110
(877) 475-0303
Mailing address
270 W 500 N, NORTH SALT LAKE, UT 84054-2769
(801) 475-0303
(888) 455-8597
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
07/12/2022
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