Organization
MAXANCILLARY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE ADAMSON (MANAGER)
(801) 703-3990
Entity
Organization
Contact information
Practice address
596 W 750 S # 310-F, BOUNTIFUL, UT 84010-7268
(801) 703-3990
Mailing address
596 W 750 S # 310-F, BOUNTIFUL, UT 84010-7268
(801) 703-3990
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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