Organization
EDISON STANFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER A LLOYD BC-HIS, ACA (HEARING INSTRUMENT SPECIALIST)
(801) 485-5595
Entity
Organization
Contact information
Practice address
1817 S MAIN ST, 7, SALT LAKE CITY, UT 84115-2036
(801) 485-5595
Mailing address
1817 S MAIN ST, 7, SALT LAKE CITY, UT 84115-2036
(801) 485-5595
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4988314-4601
UT
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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