Organization
TRI-VALLEY MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIE FRY (BILLING MANAGER)
(801) 452-6065
Entity
Organization
Contact information
Practice address
926 E 7240 S, OGDEN, UT 84405-9224
(801) 628-3559
Mailing address
PO BOX 150493, OGDEN, UT 84415-0493
(801) 452-6065
(866) 206-5224
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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