Organization
MEDVANTAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARIN WILLIAM JOHNCOCK (PRESIDENT)
(801) 430-0149
Entity
Organization
Contact information
Practice address
2134 S RICHARDS ST, SOUTH SALT LAKE, UT 84115-2606
(888) 412-8087
(888) 522-0355
Mailing address
2134 S RICHARDS ST, SOUTH SALT LAKE, UT 84115-2606
(888) 412-8087
(888) 522-0355
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
10000250003
UT
Other
Enumeration date
10/06/2014
Last updated
10/01/2025
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