Organization
CRANIO NINJA LLC
Active
Other names
Peak Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
DEVAN GRINER MD (OWNER)
(801) 702-9191
Entity
Organization
Contact information
Practice address
975 N MAIN ST STE 3A, LAYTON, UT 84041-2200
(801) 702-9191
Mailing address
1055 N 300 W STE 301, PROVO, UT 84604-3373
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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