Organization
INTERMOUNTAIN DIABETIC SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GILES (OWNER)
(801) 883-9735
Entity
Organization
Contact information
Practice address
2330 S MAIN ST STE 18, SALT LAKE CITY, UT 84115-2757
(801) 883-9735
(801) 883-9736
Mailing address
2330 S MAIN ST STE 18, SALT LAKE CITY, UT 84115-2757
(801) 883-9735
(801) 883-9736
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/02/2006
Last updated
04/20/2008
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