Organization
DESERET MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEREG P BOISJOLIE (PRESIDENT)
(801) 544-2002
Entity
Organization
Contact information
Practice address
560 W FINE DR, SALT LAKE CITY, UT 84115
(801) 270-8440
(801) 293-9000
Mailing address
560 WEST FINE DR, SALT LAKE CITY, UT 84115
(801) 270-8440
(801) 293-9000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5087382-1714
UT
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
346547
DESERET MUTUAL BENEFITS A
UT
Enumeration date
02/16/2007
Last updated
02/01/2012
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